Jay Kenneth Brubaker
Family Doctor - Geriatric Medicine
2110 Harrisburg Pike Suite 300
Lancaster
, Pennsylvania 17604-3200
Jay Kenneth Brubaker
Family Doctor - Geriatric Medicine
2110 Harrisburg Pike Suite 300
Lancaster
, Pennsylvania 17604-3200
(717) 544-3021
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Jay Kenneth Brubaker
- 2110 Harrisburg Pike Suite 300
- Lancaster, PA
- Zip : 17604-3200
- Fax : (717) 544-3021
- Phone : (717) 544-3022
Second Address
- Jay Kenneth Brubaker
- 2110 Harrisburg Pike Suite 300
- Lancaster, PA
- Zip : 17604-3200
- Fax : (717) 544-3021
- Phone : (717) 544-3022
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD012919E | PA |
National Provider Identifier
| NPI | 1063482172 |
|---|---|
| Provider Name | Jay Kenneth Brubaker |
| First Address | Lancaster, PA 17604-3200 |
| Second Address | Lancaster, PA 17604-3200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2006 |
| Last Update Date | 30/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000687604 | (05) | PA |
| 0006876040001 | (05) | PA |
| 0006876040002 | (05) | PA |
| 0006876040004 | (05) | PA |
| 01350102 | CAPITAL BLUE CROSS (01) | PA |
| 127131 | HIGHMARK BLUE SHIELD (01) | PA |
| 20011 S101 | GEISINGER HEALTH PLAN (01) | PA |
| 4662910 | AETNA NON-HMO (01) | PA |
| 516348 | AETNA HMO (01) | PA |
| B37438 | (02) | PA |
| P002665 | GATEWAY HEALTH PLAN (01) | PA |
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.