1558441337 NPI number — DR. NANCY C HUBERT PHD

Table of content: DR. NANCY C HUBERT PHD (NPI 1558441337)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558441337 NPI number — DR. NANCY C HUBERT PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUBERT
Provider First Name:
NANCY
Provider Middle Name:
C
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558441337
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
813 SHADES CREEK PKWY
Provider Second Line Business Mailing Address:
SUITE 202-A
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35209-4542
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-870-5678
Provider Business Mailing Address Fax Number:
205-879-0071

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
813 SHADES CREEK PKWY
Provider Second Line Business Practice Location Address:
SUITE 202-A
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35209-4542
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-870-5678
Provider Business Practice Location Address Fax Number:
205-879-0071
Provider Enumeration Date:
10/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  539 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103T00000X , with the licence number: 539 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 515-90541 . This is a "FEDERAL BC" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1558441337 . This is a "TRICARE SOUTH" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 515-40526 . This is a "BCBS OF ALABAMA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 515-40524 . This is a "BCBS OF ALABAMA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 890019850 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 048942489 . This is a "TRICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51043841 . This is a "BLUE CROSS PROVIDER NO." identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 515-90540 . This is a "FEDERAL BC" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 890019860 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com