Brubaker, Jay Kenneth

Brubaker, Jay Kenneth is an individual health care provider with primary practice located at 2110 Harrisburg Pike Suite 300, Lancaster PA 17604-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Brubaker, Jay Kenneth can be contacted via phone (717) 544-3022.

Contact Information

Primary practice address
2110 Harrisburg Pike Suite 300 Lancaster PA 17604-3200
Phone: (717) 544-3022
Fax: (717) 544-3021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD012919E Pennsylvania

Profile Details

NPI number 1063482172
LBN Legal business name Brubaker, Jay Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Mar 30th, 2011 - about 13 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 1063482172 NPPES
Pennsylvania MEDICAID 0006876040002
Pennsylvania Other 127131
Pennsylvania Other 01350102
Pennsylvania Other P002665
Pennsylvania Other 4662910
Pennsylvania MEDICAID 000687604
Pennsylvania Other 20011 S101
Pennsylvania MEDICAID 0006876040001
Pennsylvania MEDICAID 0006876040004
Pennsylvania Other 516348

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