Freeburne, Jason K

Freeburne, Jason K is an individual health care provider with primary practice located at 101 Cabarrus Ave E , Concord NC 28025-3699. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Freeburne, Jason K can be contacted via phone (888) 849-7379.

Contact Information

Primary practice address
101 Cabarrus Ave E Concord NC 28025-3699
Fax: (855) 857-7333
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3004629 Kentucky

Profile Details

NPI number 1003986167
LBN Legal business name Freeburne, Jason K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Dec 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003986167 NPPES
Other 11661990 CAQH
MEDICAID 78018256 CAQH

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