Kubichek, Johanna

Kubichek, Johanna is an individual health care provider with primary practice located at 456 Prospect Ave , West Orange NJ 07052-4112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kubichek, Johanna can be contacted via phone (973) 731-6767.

Contact Information

Primary practice address
456 Prospect Ave West Orange NJ 07052-4112
Phone: (973) 731-6767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00407800 New Jersey

Profile Details

NPI number 1336697895
LBN Legal business name Kubichek, Johanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2016
Last updated May 12th, 2021 - about 3 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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