Active NPIIndividual provider

Mr. Jacob Freeman, PA

Physician Assistant, Medical in Longmeadow, Massachusetts

NPI Number1467969972
Practice location
21 Dwight RD Ste 104, Longmeadow, MA 01106-1765
Fax
413-794-9448
Last updated
October 6, 2020

Jacob Freeman is a Physician Assistant, Medical based in Longmeadow, MA. Jacob Freeman practices in Longmeadow, MA and has the professional credentials of PA. The NPI Number for Jacob Freeman is 1467969972 and holds a License No. PA6332 (MA). The current practice location address for Jacob Freeman is 21 Dwight RD Ste 104, Longmeadow, MA 01106-1765 and can be reached out via phone at 413-795-4555 and via fax at 413-794-9448.

Provider Profile Details

NPI Number
1467969972
Provider Name
Jacob Freeman
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
21 Dwight RD Ste 104, Longmeadow, MA 01106-1765
Phone Number
413-795-4555
Fax Number
413-794-9448
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
January 5, 2018
Last Update Date
October 6, 2020
Certification Date
October 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Dwight RD Ste 104
Longmeadow, MA 01106-1765
Zip
01106-1765
Phone Number
413-795-4555
Fax Number
413-794-9448
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut St Fl 2
Springfield, MA 01199-1001
City
Springfield
State
MA
Zip
01199-1001
Phone Number
413-794-5700

License Information

License Number
PA6332
License State
MA
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jacob Freeman, PA?

The NPI number of Mr. Jacob Freeman, PA is 1467969972. It was assigned on January 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Mr. Jacob Freeman, PA?

Mr. Jacob Freeman, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA6332.

Where does Mr. Jacob Freeman, PA practice?

The practice location is 21 Dwight RD Ste 104, Longmeadow, MA 01106-1765. The office can be reached at 413-795-4555 (phone) or 413-794-9448 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467969972 directly on the NPPES registry website.

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