Kubat, Jennifer Lyn

Kubat, Jennifer Lyn is an individual health care provider with primary practice located at 1651 Centennial Blvd , Springfield OR 97477-3363. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Kubat, Jennifer Lyn can be contacted via phone (541) 762-4534.

Contact Information

Primary practice address
1651 Centennial Blvd Springfield OR 97477-3363
Phone: (541) 762-4534
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1497183347
LBN Legal business name Kubat, Jennifer Lyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2013
Last updated Apr 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497183347 NPPES
Oregon MEDICAID 1497183347

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