Debruin, Patricia Lynne
Debruin, Patricia Lynne is an individual health care provider with primary practice located at 2131 East State Street , Athens OH 45701-2857. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Debruin, Patricia Lynne can be contacted via phone (740) 589-3100.Contact Information
Primary practice address
2131 East State Street
Athens OH 45701-2857
Phone: (740) 589-3100
Fax: (740) 589-3123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.07926 | Ohio |
Profile Details
| NPI number | 1083696215 |
|---|---|
| LBN Legal business name | Debruin, Patricia Lynne |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jan 21st, 2021 - about 3 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 | 1083696215 | NPPES |
| Ohio | MEDICAID | 2793535 | |
| Ohio | MEDICAID | 3810010757 | |
| Ohio | Other | 2793535 | |
| Ohio | Other | 000000230055 | |
| Ohio | Other | P00448395 |
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