Lybeck-Brown, Eric Thomas

Lybeck-Brown, Eric Thomas is an individual health care provider with primary practice located at 211 Oscar Dr Suite A, Jefferson City MO 65101-5197. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lybeck-Brown, Eric Thomas can be contacted via phone (573) 635-8299.

Contact Information

Primary practice address
211 Oscar Dr Suite A Jefferson City MO 65101-5197
Phone: (573) 635-8299
Fax: (573) 635-4629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2002022069 Missouri

Profile Details

NPI number 1003898404
LBN Legal business name Lybeck-Brown, Eric Thomas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1003898404 NPPES
Missouri Other 180131 BLUE CROSS BLUE SHIELD
Missouri Other 397431 BLUE CROSS BLUE SHIELD
Missouri Other 180131 BLUE CROSS BLUE SHIELD

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