Kubek, Candace

Kubek, Candace is an individual health care provider with primary practice located at 401 N 17Th St Suite 211, Allentown PA 18104-5034. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kubek, Candace can be contacted via phone (610) 437-0711.

Contact Information

Primary practice address
401 N 17Th St Suite 211 Allentown PA 18104-5034
Fax: (610) 437-9265
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X VP006585B Pennsylvania

Profile Details

NPI number 1184689317
LBN Legal business name Kubek, Candace
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 3rd, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184689317 NPPES
Pennsylvania MEDICAID 07680196

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