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NPI Lookup from the NPI Registry — National Provider Identifier Database

JOELLEN C KUBIK, ARNP; PMHNP-BC – NPI #1154637692
Psychiatric/Mental Health


Contact Information

JOELLEN C KUBIK, ARNP; PMHNP-BC
146 W DALE ST
SUITE 101
WATERLOO, IA50703-1901
 Phone: 319-233-3351
 Fax: 319-235-3132
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Psychiatric/Mental Health

363LP0808X
Indicates primary specialty
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NPI Information for JOELLEN C KUBIK · (Female)

NPI Number 1154637692
Credentials ARNP; PMHNP-BC
Entity Individual
Enumeration date 08/22/2010
Last updated 11/18/2011 - About 3 years ago
Sole proprietor 1 No
Identifiers
IA License # 067317
IA Other 533820005 MEDICARE PTAN
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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