Cubbage, Brian Keith

Cubbage, Brian Keith is an individual health care provider with primary practice located at 30 Shady Ln , White Stone VA 22578-2601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cubbage, Brian Keith can be contacted via phone (804) 435-3133.

Contact Information

Primary practice address
30 Shady Ln White Stone VA 22578-2601
Phone: (804) 435-3133
Fax: (804) 435-1311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101232462 Virginia

Profile Details

NPI number 1013904168
LBN Legal business name Cubbage, Brian Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Oct 4th, 2013 - about 13 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 1013904168 NPPES
Virginia MEDICAID 1013904168

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