Lubisich, Peter
Lubisich, Peter is an sole proprietor health care provider with primary practice located at 300 Se 120Th Ave Ste 100 , Vancouver WA 98683-4067. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Lubisich, Peter can be contacted via phone (360) 256-1755.Contact Information
Primary practice address
300 Se 120Th Ave Ste 100
Vancouver WA 98683-4067
Phone: (360) 256-1755
Fax: (360) 882-8080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 4438 | Washington |
Profile Details
| NPI number | 1396756029 |
|---|---|
| LBN Legal business name | Lubisich, Peter |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 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 | 1396756029 | NPPES |
| Washington | Other | 3798 | WDS ID |
| Washington | Other | 409293 | WDS ID |
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Lubisich, Josef W
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