Hubbard, Marilyn

Hubbard, Marilyn is an individual health care provider with primary practice located at 5110 Midday Dr , Black Jack MO 63033-8521. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Hubbard, Marilyn can be contacted via phone (314) 741-9981.

Contact Information

Primary practice address
5110 Midday Dr Black Jack MO 63033-8521
Phone: (314) 741-9981
Fax: (314) 741-9982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X

Profile Details

NPI number 1588094676
LBN Legal business name Hubbard, Marilyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2013
Last updated Nov 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588094676 NPPES
Missouri MEDICAID 0000000

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