Kubo, Karl Christopher
Kubo, Karl Christopher is an individual health care provider with primary practice located at 615 S Division St , Moses Lake WA 98837-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kubo, Karl Christopher can be contacted via phone (509) 766-9450.Contact Information
Primary practice address
615 S Division St
Moses Lake WA 98837-3800
Phone: (509) 766-9450
Fax: (509) 766-1954
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00026434 | Washington |
Profile Details
NPI number | 1174529226 |
---|---|
LBN Legal business name | Kubo, Karl Christopher |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2005 |
Last updated | Mar 29th, 2010 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174529226 | NPPES |
Washington | MEDICAID | 1091719 |
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