Hubanks, John Mikel
Hubanks, John Mikel is an individual health care provider with primary practice located at 5750 W Thunderbird Rd Ste B200 , Glendale AZ 85306-4664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Hubanks, John Mikel can be contacted via phone (602) 375-1700.Contact Information
Primary practice address
5750 W Thunderbird Rd Ste B200
Glendale AZ 85306-4664
Phone: (602) 375-1700
Fax: (602) 978-1225
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 51942 | Minnesota |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Urology | 208800000X | 47163 | Arizona |
Profile Details
NPI number | 1831354810 |
---|---|
LBN Legal business name | Hubanks, John Mikel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2008 |
Last updated | Jul 3rd, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831354810 | NPPES |
Iowa | MEDICAID | ENROLLED | |
Iowa | MEDICAID | 780254 | |
Iowa | MEDICAID | ENROLLED | |
Iowa | Other | P00970223 |
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