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NPI Code Detail

MEDICARE: CHRISTY J HUBBARD

MEDICARE:   CHRISTY J HUBBARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1033597166
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY J HUBBARD
Provider Business Mailing Address
First Line : 4065 N 35TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-1705
Country : US
Telephone Number : 414-445-9180
Fax Number : 414-445-5995
Provider Business Practice Location Address
First Line : 4065 N 35TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-1705
Country : US
Telephone Number : 414-445-9180
Fax Number : 414-445-5995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2015
Last Update Date : 05/08/2015

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