Brosius, Kla J
Brosius, Kla J is an individual health care provider with primary practice located at 176 S Coldbrook Ave , Chambersburg PA 17201-2712. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Brosius, Kla J can be contacted via phone (717) 267-7480.Contact Information
Primary practice address
176 S Coldbrook Ave
Chambersburg PA 17201-2712
Phone: (717) 267-7480
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN703306 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP022125 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP022125 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | SP022125 | Pennsylvania |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1043620669 |
---|---|
LBN Legal business name | Brosius, Kla J |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2014 |
Last updated | Apr 26th, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043620669 | NPPES |
Pennsylvania | Other | 14672457 | CAQH |
Pennsylvania | MEDICAID | 103802749 | CAQH |
Pennsylvania | Other | 1043620669 | CAQH |
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