Kubik, Kristen Marie

Kubik, Kristen Marie is an sole proprietor health care provider with primary practice located at 13970 Oakland Ct , Plymouth MI 48170-5292. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kubik, Kristen Marie can be contacted via phone (810) 471-2399.

Contact Information

Primary practice address
13970 Oakland Ct Plymouth MI 48170-5292
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704299150 Michigan

Profile Details

NPI number 1710543863
LBN Legal business name Kubik, Kristen Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2019
Last updated May 14th, 2019 - about 6 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 1710543863 NPPES
Michigan Other 4704299150 NP LICENSE NUMBER

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