Kubisiak, Daniel Robert

Kubisiak, Daniel Robert is an sole proprietor health care provider with primary practice located at Corner Of Sidney And Lamont Street James H. Quillen Vamc, Johnson City TN 37604. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kubisiak, Daniel Robert can be contacted via phone (423) 926-1171.

Contact Information

Primary practice address
Corner Of Sidney And Lamont Street James H. Quillen Vamc Johnson City TN 37604
Phone: (423) 926-1171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 4523 Tennessee

Profile Details

NPI number 1790729978
LBN Legal business name Kubisiak, Daniel Robert
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 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.

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