Hubbard, Jack Edward

Hubbard, Jack Edward is an individual health care provider with primary practice located at 675 E Nicollet Blvd Suite 100, Burnsville MN 55337-6749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Hubbard, Jack Edward can be contacted via phone (952) 435-8516.

Contact Information

Primary practice address
675 E Nicollet Blvd Suite 100 Burnsville MN 55337-6749
Phone: (952) 435-8516
Fax: (763) 302-4336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 24157 Minnesota

Profile Details

NPI number 1194772103
LBN Legal business name Hubbard, Jack Edward
Credentials PH.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Dec 1st, 2011 - about 14 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 1194772103 NPPES
Minnesota Other 0265006 PREFERRED ONE
Minnesota Other 0506197 PREFERRED ONE
Minnesota Other HP13563 PREFERRED ONE
Minnesota MEDICAID 829007500 PREFERRED ONE
Minnesota Other 22668 PREFERRED ONE
Minnesota MEDICAID 30478600 PREFERRED ONE
Minnesota Other 07483HU PREFERRED ONE
Minnesota Other 100285C029 PREFERRED ONE
Minnesota Other 130004281 PREFERRED ONE

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