Freeman, Jeffry Scott

Freeman, Jeffry Scott is an individual health care provider with primary practice located at 3000 Old Centre Rd , Portage MI 49024-4883. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Freeman, Jeffry Scott can be contacted via phone (269) 321-7546.

Contact Information

Primary practice address
3000 Old Centre Rd Portage MI 49024-4883
Phone: (269) 321-7546
Fax: (269) 321-1705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003249 Michigan

Profile Details

NPI number 1285745950
LBN Legal business name Freeman, Jeffry Scott
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 3rd, 2014 - about 12 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 1285745950 NPPES
Michigan Other 070C910440 BLUE CROSS & BLUE SHIELD

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