Bubela, Roman

Bubela, Roman is an individual health care provider with primary practice located at 11512 B Ave , Auburn CA 95603-2605. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bubela, Roman can be contacted via phone (530) 889-7230.

Contact Information

Primary practice address
11512 B Ave Auburn CA 95603-2605
Phone: (530) 889-7230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW110457 California

Profile Details

NPI number 1457899353
LBN Legal business name Bubela, Roman
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2017
Last updated Dec 22nd, 2022 - about 4 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 1457899353 NPPES
California MEDICAID 1457899353

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