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
Fax: (707) 935-5110
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538387428 NPPES
California Other A94459 CALIFORNIA ST MED LICENSE

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