Bubanko, Steven Andrew
Bubanko, Steven Andrew is an individual health care provider with primary practice located at 352 W. Maple St. , New Lenox IL 60451. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bubanko, Steven Andrew can be contacted via phone (815) 485-6533.Contact Information
Primary practice address
352 W. Maple St.
New Lenox IL 60451
Phone: (815) 485-6533
Fax: (815) 485-6534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046009253 | Illinois |
Profile Details
| NPI number | 1033294871 |
|---|---|
| LBN Legal business name | Bubanko, Steven Andrew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Apr 17th, 2020 - about 4 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 | 1033294871 | NPPES |
| Illinois | Other | 046009253 | LICENSE NUMBER |
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