Hubbard, Tiffany A

Hubbard, Tiffany A is an individual health care provider with primary practice located at 201 N Mayfair Rd , Wauwatosa WI 53226-4216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hubbard, Tiffany A can be contacted via phone (414) 771-8228.

Contact Information

Primary practice address
201 N Mayfair Rd Wauwatosa WI 53226-4216
Fax: (414) 256-1909
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34522 Wisconsin

Profile Details

NPI number 1518918093
LBN Legal business name Hubbard, Tiffany A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Aug 17th, 2010 - about 15 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 1518918093 NPPES
Other 005006261V HUMANA
MEDICAID 31946700 HUMANA

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