Kubik, Joellen Cizek

Kubik, Joellen Cizek is an individual health care provider with primary practice located at 146 W Dale St Suite 101, Waterloo IA 50703-1901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kubik, Joellen Cizek can be contacted via phone (319) 233-3351.

Contact Information

Primary practice address
146 W Dale St Suite 101 Waterloo IA 50703-1901
Phone: (319) 233-3351
Fax: (319) 235-3132
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 067317 Iowa

Profile Details

NPI number 1154637692
LBN Legal business name Kubik, Joellen Cizek
Credentials ARNP; PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2010
Last updated Nov 18th, 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 1154637692 NPPES
Iowa Other 533820005 MEDICARE PTAN

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