Kubat, Michael Jan

Kubat, Michael Jan is an individual health care provider with primary practice located at 319 Edwin Dr Ste 103, Virginia Beach VA 23462-4541. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kubat, Michael Jan can be contacted via phone (757) 497-9545.

Contact Information

Primary practice address
319 Edwin Dr Ste 103 Virginia Beach VA 23462-4541
Phone: (757) 497-9545
Fax: (757) 497-8192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904005075 Virginia

Profile Details

NPI number 1184629164
LBN Legal business name Kubat, Michael Jan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 8th, 2007 - about 18 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 1184629164 NPPES
Virginia MEDICAID 8940525

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