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Contact Information

ANDREW BRUBAKER
113 SUSAN WAY DR
RICHMOND, KY40475-9694
 Phone: 859-248-0425
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for ANDREW BRUBAKER · (Male)

NPI # 1457761405
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2014
Last updated 04/30/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 060495082
  • IL License # 096.003575
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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