Lubera, Richard J

Lubera, Richard J is an sole proprietor health care provider with primary practice located at 12296 E 12 Mile Rd , Warren MI 48093-3516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lubera, Richard J can be contacted via phone (586) 751-5720.

Contact Information

Primary practice address
12296 E 12 Mile Rd Warren MI 48093-3516
Phone: (586) 751-5720
Fax: (586) 751-2206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301024564 Michigan

Profile Details

NPI number 1457327744
LBN Legal business name Lubera, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Apr 5th, 2011 - about 15 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 1457327744 NPPES
Michigan Other B44001 RR MEDICARE
Michigan Other 0501632 RR MEDICARE
Michigan MEDICAID 2724850 RR MEDICARE

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