Dubick, Fred H
Dubick, Fred H is an individual health care provider with primary practice located at 3808 Riverside Dr #100, Burbank CA 91505. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dubick, Fred H can be contacted via phone (818) 843-2214.Contact Information
Primary practice address
3808 Riverside Dr #100
Burbank CA 91505
Phone: (818) 843-2214
Fax: (818) 843-4331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT6901TPA | California |
Profile Details
| NPI number | 1720137615 |
|---|---|
| LBN Legal business name | Dubick, Fred H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Feb 28th, 2013 - about 11 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 | 1720137615 | NPPES |
| California | MEDICAID | GR0004692 |
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