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Contact Information

BERNARD P BUBANIC, DC DACBSP
4082 FULTON DRIVE NW
CANTON, OH44718
 Phone: 330-491-8100
 Fax: 844-572-2173
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BERNARD P BUBANIC · (Male)

NPI Number 1629174222
Status Active
Credentials DC DACBSP
Entity Individual
Enumeration date 09/15/2006
Last updated 11/18/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 1307
  • OH Medicaid 0701351
Hospital affiliation(s) Not Available
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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