Kubala, Teisha M

Kubala, Teisha M is an individual health care provider with primary practice located at 8325 W Happy Valley Rd Unit 105, Peoria AZ 85383-4361. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Kubala, Teisha M can be contacted via phone (602) 547-2111.

Contact Information

Primary practice address
8325 W Happy Valley Rd Unit 105 Peoria AZ 85383-4361
Phone: (602) 547-2111
Fax: (602) 547-0473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0459 Arizona

Profile Details

NPI number 1770540700
LBN Legal business name Kubala, Teisha M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 4th, 2020 - about 5 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 1770540700 NPPES
Arizona MEDICAID 45946301

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