Kubacka, Dustin
Kubacka, Dustin is an sole proprietor health care provider with primary practice located at 2737 Youngstown Rd Se , Warren OH 44484-5002. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Kubacka, Dustin can be contacted via phone (330) 369-8022.Contact Information
Primary practice address
2737 Youngstown Rd Se
Warren OH 44484-5002
Phone: (330) 369-8022
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 165529 | Ohio |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 168900 | Ohio |
Profile Details
| NPI number | 1306347885 |
|---|---|
| LBN Legal business name | Kubacka, Dustin |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2018 |
| Last updated | Jun 17th, 2019 - about 7 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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