Kubon, Todd Michael
Kubon, Todd Michael is an sole proprietor health care provider with primary practice located at 317 Nuttall Rd , Riverside IL 60546-1804. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist, which is considered as his primary health care specialty. Kubon, Todd Michael can be contacted via phone (312) 978-1073.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist | 229N00000X |
Profile Details
| NPI number | 1164804142 |
|---|---|
| LBN Legal business name | Kubon, Todd Michael |
| Credentials | BA, MAMS, CCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2015 |
| Last updated | Jun 25th, 2015 - about 10 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 | 1164804142 | NPPES |
| Illinois | Other | 229N00000X | WPC CODE |
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