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
Phone: (831) 427-3387
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073862041 | NPPES |
| California | Other | 44AV | MEDI-CAL PRV NBR |
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