Gordon Brewster, Kay Elaine
Gordon Brewster, Kay Elaine is an individual health care provider with primary practice located at 19 Central Ave 3Rd Floor, Oil City PA 16301-2733. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gordon Brewster, Kay Elaine can be contacted via phone (814) 678-6900.Contact Information
Primary practice address
19 Central Ave 3Rd Floor
Oil City PA 16301-2733
Phone: (814) 678-6900
Fax: (814) 678-6902
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW013252 | Pennsylvania |
Profile Details
NPI number | 1417972522 |
---|---|
LBN Legal business name | Gordon Brewster, Kay Elaine |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2006 |
Last updated | May 27th, 2009 - about 15 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 | 1417972522 | NPPES |
Pennsylvania | Other | P00207108 | RAILROAD MEDICARE |
Pennsylvania | Other | 201297000 | RAILROAD MEDICARE |
Pennsylvania | Other | P028831 | RAILROAD MEDICARE |
Pennsylvania | Other | 536029 | RAILROAD MEDICARE |
Pennsylvania | Other | 536029ZDEJ | RAILROAD MEDICARE |
Pennsylvania | Other | 112220 | RAILROAD MEDICARE |
Pennsylvania | Other | 209106 | RAILROAD MEDICARE |
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