Hubbell, Jared Keith
Hubbell, Jared Keith is an individual health care provider with primary practice located at 347 Andrieux St , Sonoma CA 95476-6811. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hubbell, Jared Keith can be contacted via phone (707) 935-5105.Contact Information
Primary practice address
347 Andrieux St
Sonoma CA 95476-6811
Phone: (707) 935-5105
Fax: (707) 935-5110
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A94459 | California |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A94459 | California |
Profile Details
NPI number | 1538387428 |
---|---|
LBN Legal business name | Hubbell, Jared Keith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2007 |
Last updated | Jul 7th, 2008 - about 16 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 | 1538387428 | NPPES |
California | Other | A94459 | CALIFORNIA ST MED LICENSE |
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