Kubo, Spencer H
Kubo, Spencer H is an individual health care provider with primary practice located at 225 Smith Ave N Suite 400, Saint Paul MN 55102-2533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kubo, Spencer H can be contacted via phone (651) 290-0133.Contact Information
Primary practice address
225 Smith Ave N Suite 400
Saint Paul MN 55102-2533
Phone: (651) 290-0133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 30271 | Minnesota |
Profile Details
| NPI number | 1912966110 |
|---|---|
| LBN Legal business name | Kubo, Spencer H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Nov 9th, 2020 - about 5 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 | 1912966110 | NPPES |
| Minnesota | MEDICAID | 046087700 |
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