Hubbard, Willie Mae
Hubbard, Willie Mae is an individual health care provider with primary practice located at 3300 Wilcox Blvd , Chattanooga TN 37411-1073. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hubbard, Willie Mae can be contacted via phone (423) 493-2100.Contact Information
Primary practice address
3300 Wilcox Blvd
Chattanooga TN 37411-1073
Phone: (423) 493-2100
Fax: (423) 493-2148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD13149 | Tennessee |
Profile Details
| NPI number | 1982697421 |
|---|---|
| LBN Legal business name | Hubbard, Willie Mae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Oct 5th, 2011 - about 13 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 | 1982697421 | NPPES |
| Tennessee | MEDICAID | 3045772 |
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