Brislin, Philip N.

Brislin, Philip N. is an individual health care provider with primary practice located at 110 S Pennsylvania Ave , Wilkes Barre PA 18701-3301. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brislin, Philip N. can be contacted via phone (570) 552-6148.

Contact Information

Primary practice address
110 S Pennsylvania Ave Wilkes Barre PA 18701-3301
Phone: (570) 552-6148
Fax: (570) 552-6021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW000909L Pennsylvania

Profile Details

NPI number 1740346535
LBN Legal business name Brislin, Philip N.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Oct 5th, 2009 - 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 1740346535 NPPES
Pennsylvania Other 279023 VALUEOPTIONS
Pennsylvania Other 195013 VALUEOPTIONS

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