Buben, Michael Charles

Buben, Michael Charles is an sole proprietor health care provider with primary practice located at 826 Alder St , South Bend WA 98586-4900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Buben, Michael Charles can be contacted via phone (360) 875-5579.

Contact Information

Primary practice address
826 Alder St South Bend WA 98586-4900
Phone: (360) 875-5579
Fax: (360) 875-5235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00001152 Washington
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X OP00001152 Washington

Profile Details

NPI number 1417991530
LBN Legal business name Buben, Michael Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Mar 23rd, 2015 - about 10 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 1417991530 NPPES
Washington MEDICAID 7093644
Washington MEDICAID 1035732
Washington Other 0049602
Washington MEDICAID 7125362
Washington Other 11143410

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