Bubak, Mark E
Bubak, Mark E is an individual health care provider with primary practice located at 2200 W 49Th St Ste 104 , Sioux Falls SD 57105-6550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Bubak, Mark E can be contacted via phone (605) 336-6385.Contact Information
Primary practice address
2200 W 49Th St Ste 104
Sioux Falls SD 57105-6550
Phone: (605) 336-6385
Fax: (605) 336-6513
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | 3512 | South Dakota |
Profile Details
NPI number | 1336196724 |
---|---|
LBN Legal business name | Bubak, Mark E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2006 |
Last updated | Feb 21st, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336196724 | NPPES |
South Dakota | Other | 0007519 | BCBS |
South Dakota | Other | 73Q32BU | BCBS |
South Dakota | MEDICAID | 5900042 | BCBS |
South Dakota | MEDICAID | 792302300 | BCBS |
South Dakota | MEDICAID | 1981852 | BCBS |
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