Jacob B Coblyn, PA
Physician Assistant, Medical in Palmer, Massachusetts
1821618489- Practice location
- 40 Wright St, Palmer, MA 01069-1138
- Phone
- 413-370-5400
- Fax
- 413-370-5654
- Last updated
- August 30, 2021
Jacob Bamford Coblyn is a Physician Assistant, Medical based in Palmer, MA. Jacob Bamford Coblyn practices in Palmer, MA and has the professional credentials of PA. The NPI Number for Jacob Bamford Coblyn is 1821618489 and holds a License No. PA8016 (MA). The current practice location address for Jacob Bamford Coblyn is 40 Wright St, Palmer, MA 01069-1138 and can be reached out via phone at 413-370-5400 and via fax at 413-370-5654.
Provider Profile Details
- NPI Number
- 1821618489
- Provider Name
- Jacob Bamford Coblyn
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 40 Wright St, Palmer, MA 01069-1138
- Phone Number
- 413-370-5400
- Fax Number
- 413-370-5654
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 23, 2020
- Last Update Date
- August 30, 2021
- Certification Date
- July 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Wright St
Palmer, MA 01069-1138 - City
- Palmer
- State
- Massachusetts
- Zip
- 01069-1138
- Phone Number
- 413-370-5400
- Fax Number
- 413-370-5654
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
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- PA8016
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Palmer, MA
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- Jenna B Booker, PA-CPhysician Assistant, Medical · NPI 1447507843
- Jordan R Kight, PA-CPhysician Assistant, Medical · NPI 1770067605
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Frequently Asked Questions
What is the NPI number of Jacob B Coblyn, PA?
The NPI number of Jacob B Coblyn, PA is 1821618489. It was assigned on April 23, 2020 and is currently active in the NPPES registry.
What is the specialty of Jacob B Coblyn, PA?
Jacob B Coblyn, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA8016.
Where does Jacob B Coblyn, PA practice?
The practice location is 40 Wright St, Palmer, MA 01069-1138. The office can be reached at 413-370-5400 (phone) or 413-370-5654 (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 1821618489 directly on the NPPES registry website.