Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2014018365 | MO |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 01079764A | IN |
NPI | 1548674971 |
---|---|
Provider Name | Alexander James Hubb |
First Address | Carmel, IN 46032-3010 |
Second Address | Carmel, IN 46032-3010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2014 |
Last Update Date | 08/07/2020 |