Hubbard, Stephanie Harrison

Hubbard, Stephanie Harrison is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Hubbard, Stephanie Harrison can be contacted via phone (765) 751-5404.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0060671 Maryland
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01080270A Indiana

Profile Details

NPI number 1679558787
LBN Legal business name Hubbard, Stephanie Harrison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Jul 9th, 2019 - about 5 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 1679558787 NPPES
Maryland MEDICAID 403262400

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