Individual provider · Type 1 NPI

Dominic Patrick Porubsky

Student in an Organized Health Care Education/Training Program · West Allis, WI

NPI number 1558093997 Active

Practice location

2448 S 102nd St Ste 200
West Allis, WI 53227-2141

Call (414) 327-3000 Map

Mailing address

18700 Anita Ct
Brookfield, WI 53045-4229

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
School Social Worker 1041S0200XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558093997

Dominic Patrick Porubsky's National Provider Identifier is 1558093997, issued on Jun 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Allis, WI. The record was last updated on Jun 29, 2022.