Luber, Jack E

Luber, Jack E is an sole proprietor health care provider with primary practice located at 425 Salem St , Medford MA 02155-3337. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Luber, Jack E can be contacted via phone (781) 933-3734.

Contact Information

Primary practice address
425 Salem St Medford MA 02155-3337
Phone: (781) 933-3734
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PD1514 Massachusetts

Profile Details

NPI number 1538175187
LBN Legal business name Luber, Jack E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538175187 NPPES
Massachusetts Other Y70615 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 0334189 BLUE CROSS BLUE SHIELD
Massachusetts Other 795450 BLUE CROSS BLUE SHIELD

Popular Providers