Brubaker, Philip K
Brubaker, Philip K is an individual health care provider with primary practice located at 139 Main St Suite 706D, Brattleboro VT 05301. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Brubaker, Philip K can be contacted via phone (802) 257-4561.Contact Information
Primary practice address
139 Main St Suite 706D
Brattleboro VT 05301
Phone: (802) 257-4561
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0680000648 | Vermont |
Profile Details
| NPI number | 1699898791 |
|---|---|
| LBN Legal business name | Brubaker, Philip K |
| Credentials | LCMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699898791 | NPPES |
| Vermont | MEDICAID | 1011176 |
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