Jacob Robert Lynn Brubaker
Podiatrist Prosthetist
17927 131st St E
Bonney Lake
, Washington 98391-7686
Jacob Robert Lynn Brubaker
Podiatrist Prosthetist
17927 131st St E
Bonney Lake
, Washington 98391-7686
(907) 561-2157
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Jacob Robert Lynn Brubaker
- 3400 Latouche St Suite 100
- Anchorage, AK
- Zip : 99508-4208
- Fax : (907) 561-2157
- Phone : (907) 561-1777
Second Address
- Jacob Robert Lynn Brubaker
- 17927 131st St E
- Bonney Lake, WA
- Zip : 98391-7686
- Phone : (206) 790-3890
Reviews
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Is Jacob Robert Lynn Brubaker a sole practitioner?
Is Jacob Robert Lynn Brubaker accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | ||
| N | 222Z00000X | Podiatrist | ||
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1275880015 |
|---|---|
| Provider Name | Jacob Robert Lynn Brubaker |
| First Address | Anchorage, AK 99508-4208 |
| Second Address | Bonney Lake, WA 98391-7686 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2012 |
| Last Update Date | 02/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PO0012 | (05) | AK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.