Freeman, Janis E

Freeman, Janis E is an individual health care provider with primary practice located at 434 S Kingsboro Ave , Johnstown NY 12095-3822. 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, Janis E can be contacted via phone (518) 752-5275.

Contact Information

Primary practice address
434 S Kingsboro Ave Johnstown NY 12095-3822
Fax: (518) 752-5277
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336439-1 New York

Profile Details

NPI number 1730493214
LBN Legal business name Freeman, Janis E
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2010
Last updated Feb 21st, 2018 - about 6 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 1730493214 NPPES
New York MEDICAID 03276542

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