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:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 1700987302 | NPPES |
| New York | Other | 161762514 | INSURANCE IDENTIFIER |
| New York | Other | 161462496 | INSURANCE IDENTIFIER |
| New York | Other | 7961 | INSURANCE IDENTIFIER |
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