Kubiak, Vernon Robert

Kubiak, Vernon Robert is an individual health care provider with primary practice located at 1070 Hiline Rd Suite 210, Pocatello ID 83201-2947. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Kubiak, Vernon Robert can be contacted via phone (208) 478-9081.

Contact Information

Primary practice address
1070 Hiline Rd Suite 210 Pocatello ID 83201-2947
Phone: (208) 478-9081
Fax: (208) 478-4999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X CNS-74A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 54586 Idaho

Profile Details

NPI number 1538576491
LBN Legal business name Kubiak, Vernon Robert
Credentials APRN, CNS, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2014
Last updated Mar 17th, 2017 - about 7 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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