Kubitz, Michael Lee

Kubitz, Michael Lee is an individual health care provider with primary practice located at 784 14Th Ave , Longview WA 98632-2315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Kubitz, Michael Lee can be contacted via phone (360) 425-6111.

Contact Information

Primary practice address
784 14Th Ave Longview WA 98632-2315
Phone: (360) 425-6111
Fax: (360) 636-1297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD00032648 Washington

Profile Details

NPI number 1346231818
LBN Legal business name Kubitz, Michael Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 9th, 2007 - about 17 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 1346231818 NPPES
Oregon MEDICAID 074773
Oregon Other 129610
Oregon MEDICAID 8173031

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