Kubiak, John F

Kubiak, John F is an individual health care provider with primary practice located at 3206 Heritage Trade Dr Suite 108-A, Wake Forest NC 27587-4486. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Kubiak, John F can be contacted via phone (919) 302-8297.

Contact Information

Primary practice address
3206 Heritage Trade Dr Suite 108-A Wake Forest NC 27587-4486
Phone: (919) 302-8297
Fax: (919) 803-1770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1156 North Carolina

Profile Details

NPI number 1043385347
LBN Legal business name Kubiak, John F
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated May 2nd, 2009 - about 16 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 1043385347 NPPES
North Carolina MEDICAID 6105162

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