MR. TIMOTHY MORRIS BRUBAKER NPI 1760052724

NPI Information

NPI: 1760052724
Provider Name: MR. TIMOTHY MORRIS BRUBAKER
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
275 MARTINEL DR
KENT, OH
ZIP 44240
Phone: (330) 673-6339
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MR. Timothy Morris Brubaker is a professional counselor in Kent, OH. MR. Timothy Morris Brubaker NPI is 1760052724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

275 MARTINEL DR
KENT, OH
ZIP 44240-380
Phone: (330) 673-6339

The enumeration date for this NPI number is 6/30/2021 and was last updated on 1/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	101YP2500X	Counselor	Professional	C.2204756	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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