Bublik, Jan

Bublik, Jan is an individual health care provider with primary practice located at 210 Independence Ln , Wausau WI 54403-5197. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bublik, Jan can be contacted via phone (715) 203-1305.

Contact Information

Primary practice address
210 Independence Ln Wausau WI 54403-5197
Phone: (715) 203-1305
Fax: (866) 906-0578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 050499-1 New York

Profile Details

NPI number 1700987302
LBN Legal business name Bublik, Jan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Apr 5th, 2011 - about 13 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 1700987302 NPPES
New York Other 161762514 INSURANCE IDENTIFIER
New York Other 161462496 INSURANCE IDENTIFIER
New York Other 7961 INSURANCE IDENTIFIER

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