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Contact Information

DR KUKUK & DR HAUBOLD PC
1139 E FRONT ST
TRAVERSE CITY, MI49686
 Phone: 231-947-7082
 Fax: 231-947-1911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DR KUKUK & DR HAUBOLD PC

NPI # 1427181239
LBN Legal business name DR KUKUK & DR HAUBOLD PC
Authorized official ROBERT HAUBOLD - (CORPORATION PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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