Freeman, Deborah Jean

Freeman, Deborah Jean is an individual health care provider with primary practice located at 4820 West Taft Road Ste 108, Liverpool NY 13088. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Freeman, Deborah Jean can be contacted via phone (315) 413-0004.

Contact Information

Primary practice address
4820 West Taft Road Ste 108 Liverpool NY 13088
Phone: (315) 413-0004
Fax: (315) 413-0828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 334674 New York

Profile Details

NPI number 1639252422
LBN Legal business name Freeman, Deborah Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated May 2nd, 2008 - about 16 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 1639252422 NPPES
New York MEDICAID 02850080

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