Lubbers, David Jerome

Lubbers, David Jerome is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lubbers, David Jerome can be contacted via phone (859) 301-2160.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 301-2160
Fax: (859) 301-3932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 24507 Kentucky
Other Service Providers / Specialist 174400000X 24507 Kentucky

Profile Details

NPI number 1134111503
LBN Legal business name Lubbers, David Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Aug 7th, 2013 - about 11 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 1134111503 NPPES
Ohio MEDICAID 0060564
Ohio MEDICAID 0592569
Ohio MEDICAID 64245079
Ohio Other 300013439

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