Bubash, Lori
Bubash, Lori is an individual health care provider with primary practice located at 6816 Valley Spring Rd , Bloomfield MI 48301-2845. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bubash, Lori can be contacted via phone (248) 255-1941.Contact Information
Primary practice address
6816 Valley Spring Rd
Bloomfield MI 48301-2845
Phone: (248) 255-1941
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301080761 | Michigan |
Profile Details
| NPI number | 1417916602 |
|---|---|
| LBN Legal business name | Bubash, Lori |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Apr 10th, 2023 - about 3 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 | 1417916602 | NPPES |
| Michigan | Other | 300F362420 | BCBSM |
| Michigan | MEDICAID | 4771321 | BCBSM |
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