Tubre, Elvin Gregory

Tubre, Elvin Gregory is an individual health care provider with primary practice located at 1200 S Farmerville St , Ruston LA 71270-5941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tubre, Elvin Gregory can be contacted via phone (318) 251-6390.

Contact Information

Primary practice address
1200 S Farmerville St Ruston LA 71270-5941
Fax: (318) 251-6390
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 016706 Louisiana

Profile Details

NPI number 1336108877
LBN Legal business name Tubre, Elvin Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jan 25th, 2010 - about 14 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 1336108877 NPPES
Louisiana MEDICAID 1347124
Louisiana Other 5W9847387

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