Bubanic, Bernard P.
Bubanic, Bernard P. is an sole proprietor health care provider with primary practice located at 4082 Fulton Drive Nw , Canton OH 44718. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Bubanic, Bernard P. can be contacted via phone (330) 491-8100.Contact Information
Primary practice address
4082 Fulton Drive Nw
Canton OH 44718
Phone: (330) 491-8100
Fax: (844) 572-2173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 1307 | Ohio |
Profile Details
| NPI number | 1629174222 |
|---|---|
| LBN Legal business name | Bubanic, Bernard P. |
| Credentials | DC DACBSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Nov 18th, 2016 - about 8 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 | 1629174222 | NPPES |
| Ohio | MEDICAID | 0701351 |
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