Individual
BERNARD P. BUBANIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC DACBSP
Contact information
Practice address
4082 FULTON DRIVE NW, CANTON, OH 44718
(330) 491-8100
(844) 572-2173
Mailing address
4082 FULTON DRIVE NW, CANTON, OH 44718
(330) 491-8100
(844) 572-2173
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1307
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701351
—
OH
Enumeration date
09/15/2006
Last updated
11/18/2016
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