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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417916602 NPPES
Michigan Other 300F362420 BCBSM
Michigan MEDICAID 4771321 BCBSM

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