Kubistek, Shadene R
Kubistek, Shadene R is an individual health care provider with primary practice located at 2580 Haymaker Rd Ste 105 , Monroeville PA 15146-3500. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Kubistek, Shadene R can be contacted via phone (412) 372-3336.Contact Information
Primary practice address
2580 Haymaker Rd Ste 105
Monroeville PA 15146-3500
Phone: (412) 372-3336
Fax: (412) 372-2004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AT001126L | Pennsylvania |
Profile Details
| NPI number | 1407340078 |
|---|---|
| LBN Legal business name | Kubistek, Shadene R |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2018 |
| Last updated | Oct 5th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407340078 | NPPES |
| Other | 11228191 | CAQH | |
| MEDICAID | 103570822 | CAQH |
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