Kubac, George

Kubac, George is an individual health care provider with primary practice located at 3001 Daggett Ave Ste 101 , Klamath Falls OR 97601-1126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Kubac, George can be contacted via phone (541) 884-6233.

Contact Information

Primary practice address
3001 Daggett Ave Ste 101 Klamath Falls OR 97601-1126
Phone: (541) 884-6233
Fax: (541) 880-2840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD20381 Oregon

Profile Details

NPI number 1114081700
LBN Legal business name Kubac, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Nov 4th, 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 1114081700 NPPES
Oregon MEDICAID 164981
Oregon Other 060060517
Oregon Other 060051986

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