Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS9568 | FL |
N | 2086S0129X | Vascular Surgeon | 340045 | OH |
N | 2086S0129X | Vascular Surgeon | OS9568 | FL |
NPI | 1275795361 |
---|---|
Provider Name | Dr. James G Hubert |
First Address | New Philadelphia, OH 44663 |
Second Address | Cape Coral, FL 33909-5405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 20/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0848104 | (05) | OH |
107932000 | CAQH (01) | OH |
F97119 | (02) | OH |