E J Kuebeck MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35045108K Issued in OH

Legal business name

E J KUEBECK MD INC

Practice address

1052 W Wooster St
Bowling Green, OH 43402

Phone

(419) 354-3921

Fax

(419) 354-3001

NPI assigned

Mar 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edelbert J Kuebeck, MD

Title

President

Phone

(419) 354-3921

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1407972862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "43402",
            "telephone_number": "419-354-3921",
            "fax_number": "419-354-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "43402",
            "telephone_number": "419-354-3921",
            "fax_number": "419-354-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E J KUEBECK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "KUEBECK",
        "authorized_official_first_name": "EDELBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-354-3921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35045108K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0516427",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Dunkle-Fouts, LSW
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• Dryw O Dworsky, PH.D.
• Joann Marion Dziewiatka, PC
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• Monica Eaton
• Kelsey Echelbarger, PHARMD
• Rachel Eckel, MA, CCC-SLP
• Brandon Matthew Eckstein, CT, CDCA, QMHS

• Family Medicine Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.