Hubbard, Joel T

Hubbard, Joel T is an individual health care provider with primary practice located at 194 Clarkson Rd , Ellisville MO 63011-2244. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hubbard, Joel T can be contacted via phone (636) 227-2020.

Contact Information

Primary practice address
194 Clarkson Rd Ellisville MO 63011-2244
Phone: (636) 227-2020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2003014764 Missouri

Profile Details

NPI number 1801952734
LBN Legal business name Hubbard, Joel T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Oct 11th, 2022 - about 2 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 1801952734 NPPES
Other 2003014764 MISSOURI LICENSE
Other 11814229 MISSOURI LICENSE

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