Kubeczko, Brian

Kubeczko, Brian is an sole proprietor health care provider with primary practice located at 8000 Broadview Village Sq , Broadview IL 60155-2601. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kubeczko, Brian can be contacted via phone (708) 410-2957.

Contact Information

Primary practice address
8000 Broadview Village Sq Broadview IL 60155-2601
Phone: (708) 410-2957
Fax: (708) 410-2962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051041018 Illinois

Profile Details

NPI number 1467739904
LBN Legal business name Kubeczko, Brian
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2011
Last updated Nov 11th, 2011 - about 14 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 1467739904 NPPES
Illinois Other 051041018 STATE LICENSE

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