Kociubuk, Andrew

Kociubuk, Andrew is an sole proprietor health care provider with primary practice located at 8202 Excelsior Dr , Madison WI 53717-1906. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Kociubuk, Andrew can be contacted via phone (608) 831-1766.

Contact Information

Primary practice address
8202 Excelsior Dr Madison WI 53717-1906
Phone: (608) 831-1766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11039-33 Wisconsin
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN.466178 Ohio

Profile Details

NPI number 1386241867
LBN Legal business name Kociubuk, Andrew
Credentials APNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2020
Last updated Jun 30th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386241867 NPPES
Ohio Other RN.466178 REGISTERED NURSE

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