Bubp, Corby Alan

Bubp, Corby Alan is an individual health care provider with primary practice located at 10293 N Meridian St , Indianapolis IN 46290-1123. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Bubp, Corby Alan can be contacted via phone (317) 581-2288.

Contact Information

Primary practice address
10293 N Meridian St Indianapolis IN 46290-1123
Phone: (317) 581-2288
Fax: (317) 581-2295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20042024 Indiana

Profile Details

NPI number 1134136229
LBN Legal business name Bubp, Corby Alan
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Dec 9th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134136229 NPPES
Indiana MEDICAID 200504340

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