Koubsley, Robert Warren

Koubsley, Robert Warren is an individual health care provider with primary practice located at 3400 1St St N #102, St Cloud MN 56303. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Koubsley, Robert Warren can be contacted via phone (320) 255-9048.

Contact Information

Primary practice address
3400 1St St N #102 St Cloud MN 56303
Phone: (320) 255-9048
Fax: (320) 251-4745
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X MN 8778 Minnesota

Profile Details

NPI number 1528167236
LBN Legal business name Koubsley, Robert Warren
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528167236 NPPES
Minnesota Other 4347273 MN STATE TAX ID

Popular Providers