| Margie Brubaker Llc | |
|
111 Council St Frederick MD 21701-5412 | |
| (301) 620-8700 | |
| Not Available |
| Full Name | Margie Brubaker Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 111 Council St, Frederick, Maryland |
| Authorized Official Name and Position | Holly Roembke (OFFICE MANAGER) |
| Authorized Official Contact | 3016208700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Margie Brubaker Llc Po Box 4007 Frederick MD 21705-4007 Ph: (301) 620-8700 | Margie Brubaker Llc 111 Council St Frederick MD 21701-5412 Ph: (301) 620-8700 |
| NPI Number | 1922883669 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 7618329038 |
|---|---|
| Medicare Enrollment ID | O20240122000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922883669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Margery F. Brubaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932221421 PECOS PAC ID: 5799191946 Enrollment ID: I20240122000559 |
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