Clearbrook Family Medicine Llc
LBN: Clearbrook Family Medicine Llc
Clearbrook Family Medicine Llc is an health care organization with primary practice located at 863 S Lincoln Ave , Tyrone PA 16686-1349. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Clearbrook Family Medicine Llc can be contacted via phone (814) 684-1245, or through Henninger, Jason E via phone (814) 684-1245.
Contact Information
Primary practice address
863 S Lincoln Ave
Tyrone PA 16686-1349
Phone: (814) 684-1245
Fax: (814) 684-1246
Website:
Authorized official contact:
Name: Henninger, Jason E Doctor of Osteopathy (DO)
Phone: (814) 684-1245
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS009583L | Pennsylvania |
Profile Details
| NPI number | 1477669901 |
|---|---|
| LBN Legal business name | Clearbrook Family Medicine Llc |
| DBA Doing business as | |
| Authorized official | Henninger, Jason E Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Oct 13th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477669901 | NPPES |
| Pennsylvania | Other | DB3021 | RAILROAD MEDICARE |
| Pennsylvania | Other | 1496395 | RAILROAD MEDICARE |
| Pennsylvania | Other | 42600 | RAILROAD MEDICARE |
| Pennsylvania | Other | 265732 | RAILROAD MEDICARE |
| Pennsylvania | Other | 204685 | RAILROAD MEDICARE |
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