Provider Demographics
NPI:1821034638
Name:ARMBRUSTER, HUGH URBAN
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:URBAN
Last Name:ARMBRUSTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 N RIVER ST
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-3800
Mailing Address - Country:US
Mailing Address - Phone:810-750-0320
Mailing Address - Fax:810-767-4060
Practice Address - Street 1:127 N RIVER ST
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-3800
Practice Address - Country:US
Practice Address - Phone:810-750-0320
Practice Address - Fax:810-767-4060
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301002268103T00000X
MI68010191311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI028363OtherVALUE OPTIONS
MI258694OtherMHN PIN
MI5266701OtherAETNA BEHAVIORAL HEALTH
MI0911419OtherBCBSM MESSA/MEGELLAN
MI1063603106OtherHEALTH PLUS PIN
MI7509104190OtherBCBSM MENTAL HEALTH PIN
MI130958OtherCARE CHOICES & PREFERRED
MIM80840Medicare ID - Type UnspecifiedMSW,CSL GROUP