Lubisich, Josef W
Lubisich, Josef W is an individual health care provider with primary practice located at 300 Se 120Th Ave Ste. 100, Vancouver WA 98683-4090. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Lubisich, Josef W can be contacted via phone (360) 256-1755.Contact Information
Primary practice address
300 Se 120Th Ave Ste. 100
Vancouver WA 98683-4090
Phone: (360) 256-1755
Fax: (360) 882-8080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DE00010088 | Washington |
| Dental Providers / Pediatric Dentistry | 1223P0221X | D8681 | Oregon |
Profile Details
| NPI number | 1326260035 |
|---|---|
| LBN Legal business name | Lubisich, Josef W |
| Credentials | D.M.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1326260035 | NPPES |
| Washington | MEDICAID | 5049481 |
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