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
Fax: (605) 336-6513
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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