Kubizna, Trey J
Kubizna, Trey J is an individual health care provider with primary practice located at 3035 Hoag Ave Ne , Grand Rapids MI 49525-9632. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kubizna, Trey J can be contacted via phone (616) 262-7263.Contact Information
Primary practice address
3035 Hoag Ave Ne
Grand Rapids MI 49525-9632
Phone: (616) 262-7263
Fax: (616) 365-9394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6946 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501012424 | Michigan |
Profile Details
| NPI number | 1265411565 |
|---|---|
| LBN Legal business name | Kubizna, Trey J |
| Credentials | D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Apr 22nd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265411565 | NPPES |
| Michigan | Other | 650D116680 | BCBS PROVIDER NUMBER |
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