Brubaker, John Mark

Brubaker, John Mark is an individual health care provider with primary practice located at 11800 E 12 Mile Rd , Warren MI 48093-3472. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brubaker, John Mark can be contacted via phone (586) 573-5850.

Contact Information

Primary practice address
11800 E 12 Mile Rd Warren MI 48093-3472
Fax: (586) 573-5853
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302410858 Michigan
Pharmacy Service Providers / Pharmacist 183500000X 00056824 Washington

Profile Details

NPI number 1295715928
LBN Legal business name Brubaker, John Mark
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 8th, 2007 - about 17 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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