Kubley, Rod Stephen

Kubley, Rod Stephen is an individual health care provider with primary practice located at 1919 Lake Ave Suite 104, Plymouth IN 46563-7830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kubley, Rod Stephen can be contacted via phone (574) 941-2929.

Contact Information

Primary practice address
1919 Lake Ave Suite 104 Plymouth IN 46563-7830
Phone: (574) 941-2929
Fax: (574) 941-3008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01035442 Indiana

Profile Details

NPI number 1821037532
LBN Legal business name Kubley, Rod Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated May 24th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821037532 NPPES
Indiana Other 021236800 FEDERAL BLACK LUNG PIN
Indiana MEDICAID 100173750B FEDERAL BLACK LUNG PIN
Indiana Other 000000216243 FEDERAL BLACK LUNG PIN

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