Chakara, Freeman M

Chakara, Freeman M is an sole proprietor health care provider with primary practice located at 219 W Main St , Leola PA 17540-1753. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Chakara, Freeman M can be contacted via phone (717) 556-0149.

Contact Information

Primary practice address
219 W Main St Leola PA 17540-1753
Phone: (717) 556-0149
Fax: (717) 556-0149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS009409 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS009409 Pennsylvania
Behavioral Health & Social Service Providers / School 103TS0200X PS009409 Pennsylvania

Profile Details

NPI number 1336190966
LBN Legal business name Chakara, Freeman M
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jul 2nd, 2013 - about 13 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 1336190966 NPPES
Pennsylvania Other 680015251 RAILROAD MEDICARE
Pennsylvania Other 02271001 RAILROAD MEDICARE
Pennsylvania Other 1548470 RAILROAD MEDICARE
Pennsylvania Other 001334567 RAILROAD MEDICARE
Pennsylvania MEDICAID 0018978580002 RAILROAD MEDICARE

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