Kubatzke, Eric
Kubatzke, Eric is an individual health care provider with primary practice located at 201 Turner Mccall Blvd Nw , Rome GA 30165-2545. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kubatzke, Eric can be contacted via phone (706) 236-2758.Contact Information
Primary practice address
201 Turner Mccall Blvd Nw
Rome GA 30165-2545
Phone: (706) 236-2758
Fax: (706) 802-1408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT007061 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT21231 | Florida |
Profile Details
| NPI number | 1962409144 |
|---|---|
| LBN Legal business name | Kubatzke, Eric |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Oct 22nd, 2007 - about 17 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 | 1962409144 | NPPES |
| Florida | Other | P00365041 | RR MEDICARE |
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