Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 2016-02413 | NC |
N | 207RC0200X | Critical Care Medicine | 25MB06851600 | NJ |
N | 207RC0200X | Critical Care Medicine | OS14248 | FL |
Y | 207RP1001X | Pulmonary Disease | MB68516 | NJ |
NPI | 1063486132 |
---|---|
Provider Name | Dr. Karl A Hebbe |
First Address | Boca Raton, FL 33431-8554 |
Second Address | South Plainfield, NJ 07080-5530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 03/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2355365000 | AMERIHEALTH (01) | NJ |
2K4729 | HEALTHNET (01) | NJ |
4668858 | CIGNA (01) | NJ |
8231508 | (05) | NJ |
H17898 | (02) | NJ |
P00091589 | RAILROAD MEDICARE (01) | NJ |
P3209508 | OXFORD (01) | NJ |