Kubovcik, Courtney Brooke
Kubovcik, Courtney Brooke is an individual health care provider with primary practice located at 615 W Crawford Ave , Connellsville PA 15425-2538. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kubovcik, Courtney Brooke can be contacted via phone (724) 603-2657.Contact Information
Primary practice address
615 W Crawford Ave
Connellsville PA 15425-2538
Phone: (724) 603-2657
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1285370973 |
|---|---|
| LBN Legal business name | Kubovcik, Courtney Brooke |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2022 |
| Last updated | May 6th, 2022 - about 2 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 | 1285370973 | NPPES |
| Pennsylvania | Other | SW137361 | STATE LICENSE |
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