Brubaker, Herman Wallace
Brubaker, Herman Wallace is an individual health care provider with primary practice located at 12 St Paul Dr Ste 101 , Chambersburg PA 17201-1035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brubaker, Herman Wallace can be contacted via phone (717) 217-6760.Contact Information
Primary practice address
12 St Paul Dr Ste 101
Chambersburg PA 17201-1035
Phone: (717) 217-6760
Fax: (717) 217-6912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD028694E | Pennsylvania |
Profile Details
| NPI number | 1609870054 |
|---|---|
| LBN Legal business name | Brubaker, Herman Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1609870054 | NPPES |
| Pennsylvania | Other | 080086589 | RAILROAD MEDICARE |
| Pennsylvania | Other | 4397945 | RAILROAD MEDICARE |
| Pennsylvania | Other | 867633 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | Other | 426224 | RAILROAD MEDICARE |
| Pennsylvania | Other | P006020 | RAILROAD MEDICARE |
| Pennsylvania | Other | 1806901 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | MEDICAID | 000908788 | RAILROAD MEDICARE |
| Pennsylvania | Other | 247728 | RAILROAD MEDICARE |
| Pennsylvania | Other | 122715 | RAILROAD MEDICARE |
| Pennsylvania | Other | 666058 | RAILROAD MEDICARE |
| Pennsylvania | Other | MD028694E | RAILROAD MEDICARE |
| Pennsylvania | Other | 120420409 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | Other | 25-1716306 | RAILROAD MEDICARE |
| Pennsylvania | Other | 842753 | RAILROAD MEDICARE |
| Pennsylvania | Other | BR426736 | RAILROAD MEDICARE |
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