Kubicki, Krzysztof

Kubicki, Krzysztof is an individual health care provider with primary practice located at 111 1St St , Chester WV 26034-1001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kubicki, Krzysztof can be contacted via phone (304) 387-2761.

Contact Information

Primary practice address
111 1St St Chester WV 26034-1001
Phone: (304) 387-2761
Fax: (304) 387-3704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17474 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35070327 Ohio

Profile Details

NPI number 1962499046
LBN Legal business name Kubicki, Krzysztof
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Dec 12th, 2012 - about 13 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 1962499046 NPPES
West Virginia MEDICAID 0076313000
West Virginia MEDICAID 0941413

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