Hubbard, Evan
Hubbard, Evan is an individual health care provider with primary practice located at 1011 A 10Th Street , Alamogordo NM 88310. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Hubbard, Evan can be contacted via phone (575) 439-9878.Contact Information
Primary practice address
1011 A 10Th Street
Alamogordo NM 88310
Phone: (575) 439-9878
Fax: (575) 439-9876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | A-1187 | New Mexico |
Profile Details
| NPI number | 1891167854 |
|---|---|
| LBN Legal business name | Hubbard, Evan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2015 |
| Last updated | Oct 29th, 2015 - about 10 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 | 1891167854 | NPPES |
| New Mexico | Other | A-1187 | PTA LICENSE |
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