Bubenik, Oldrich V
Bubenik, Oldrich V is an sole proprietor health care provider with primary practice located at 604 N Wasington Street , Council Grove KS 66846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bubenik, Oldrich V can be contacted via phone (620) 767-5126.Contact Information
Primary practice address
604 N Wasington Street
Council Grove KS 66846
Phone: (620) 767-5126
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R2A65 | Missouri |
Profile Details
| NPI number | 1043323702 |
|---|---|
| LBN Legal business name | Bubenik, Oldrich V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jan 25th, 2016 - about 9 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 | 1043323702 | NPPES |
| Missouri | MEDICAID | 202167839 |
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