Kubal, Amy Marie

Kubal, Amy Marie is an individual health care provider with primary practice located at 2450 Risner Drive Ellsworth Air Force Base Health And Wellness Center, Ellsworth Afb SD 57706. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kubal, Amy Marie can be contacted via phone (605) 385-2349.

Contact Information

Primary practice address
2450 Risner Drive Ellsworth Air Force Base Health And Wellness Center Ellsworth Afb SD 57706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 00915063

Profile Details

NPI number 1770736522
LBN Legal business name Kubal, Amy Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2008
Last updated Feb 4th, 2009 - about 16 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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