Brubaker, Jacob Robert Lynn

Brubaker, Jacob Robert Lynn is an individual health care provider with primary practice located at 17927 131St St E , Bonney Lake WA 98391-7686. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Brubaker, Jacob Robert Lynn can be contacted via phone (206) 790-3890.

Contact Information

Primary practice address
17927 131St St E Bonney Lake WA 98391-7686
Phone: (206) 790-3890
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1275880015
LBN Legal business name Brubaker, Jacob Robert Lynn
Credentials C.P.O.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2012
Last updated Dec 2nd, 2019 - about 7 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 1275880015 NPPES
Alaska MEDICAID PO0012

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