Brustin, Nick

Brustin, Nick is an individual health care provider with primary practice located at 126 Front St # A , Santa Cruz CA 95060-4402. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Brustin, Nick can be contacted via phone (831) 427-3387.

Contact Information

Primary practice address
126 Front St # A Santa Cruz CA 95060-4402
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X California

Profile Details

NPI number 1073862041
LBN Legal business name Brustin, Nick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Apr 3rd, 2015 - about 11 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 1073862041 NPPES
California Other 44AV MEDI-CAL PRV NBR

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