Kubricht, Dorotha W

Kubricht, Dorotha W is an individual health care provider with primary practice located at 11990 Jackson St , Clinton LA 70722-3210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Kubricht, Dorotha W can be contacted via phone (225) 683-5292.

Contact Information

Primary practice address
11990 Jackson St Clinton LA 70722-3210
Phone: (225) 683-5292
Fax: (225) 683-3411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP01080 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X AP01080 Louisiana

Profile Details

NPI number 1255331468
LBN Legal business name Kubricht, Dorotha W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Mar 29th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255331468 NPPES
Louisiana MEDICAID 1559270

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