Organization
FREEMAN M CHAKARA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREEMAN M CHAKARA PSYD (OWNER)
(717) 556-0149
Entity
Organization
Contact information
Practice address
219 W MAIN ST, LEOLA, PA 17540-1753
(717) 556-0149
(717) 556-0149
Mailing address
2003 OLD ROTHSVILLE RD, LITITZ, PA 17543-9133
(717) 556-0149
(717) 556-0149
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS009409
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001334567
HIGHMARK BLUE SHIELD
PA
05
—
001897858
—
PA
01
—
02271001
CAPITAL BLUE CROSS
PA
01
—
1548467
GATEWAY MEDICARE ASSURED
PA
01
—
680015251
RAILROAD MEDICARE
PA
Enumeration date
07/16/2006
Last updated
07/02/2013
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