Hubbard, Jerry Leroy
Hubbard, Jerry Leroy is an individual health care provider with primary practice located at 875 Oak St Se Ste 5060, Salem OR 97301-3987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Hubbard, Jerry Leroy can be contacted via phone (503) 399-1386.Contact Information
Primary practice address
875 Oak St Se Ste 5060
Salem OR 97301-3987
Phone: (503) 399-1386
Fax: (503) 399-1182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD11848 | Oregon |
Profile Details
| NPI number | 1952307498 |
|---|---|
| LBN Legal business name | Hubbard, Jerry Leroy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Apr 10th, 2008 - about 16 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 | 1952307498 | NPPES |
| Oregon | MEDICAID | 118968 |
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