Stubbe, Ingo H
Stubbe, Ingo H is an individual health care provider with primary practice located at 230 Highland Ave , Somerville MA 02143-1408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stubbe, Ingo H can be contacted via phone (617) 591-4920.Contact Information
Primary practice address
230 Highland Ave
Somerville MA 02143-1408
Phone: (617) 591-4920
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 79710 | Massachusetts |
Profile Details
| NPI number | 1164476503 |
|---|---|
| LBN Legal business name | Stubbe, Ingo H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1164476503 | NPPES |
| Massachusetts | MEDICAID | 3134105 |
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