Brubaker, Stephanie
Brubaker, Stephanie is an individual health care provider with primary practice located at 11300 Us Highway 290 E Ste 140 , Manor TX 78653-0396. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brubaker, Stephanie can be contacted via phone (512) 852-8004.Contact Information
Primary practice address
11300 Us Highway 290 E Ste 140
Manor TX 78653-0396
Phone: (512) 852-8004
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1132298 | Texas |
Profile Details
NPI number | 1013182468 |
---|---|
LBN Legal business name | Brubaker, Stephanie |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 28th, 2008 |
Last updated | Mar 26th, 2020 - about 4 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 | 1013182468 | NPPES |
Texas | MEDICAID | 193559501 | |
Texas | Other | P00673565 |
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