Kubnick, Bethany Rose
Kubnick, Bethany Rose is an sole proprietor health care provider with primary practice located at 3501 Cranberry Blvd , Weston WI 54476-5213. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kubnick, Bethany Rose can be contacted via phone (715) 393-1000.Contact Information
Primary practice address
3501 Cranberry Blvd
Weston WI 54476-5213
Phone: (715) 393-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10223-024 | Wisconsin |
Profile Details
| NPI number | 1982790465 |
|---|---|
| LBN Legal business name | Kubnick, Bethany Rose |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | May 12th, 2022 - about 4 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 | 1982790465 | NPPES |
| Wisconsin | MEDICAID | 40460100 |
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