MEDICARE: TIMOTHY EDWARD HUBER M.D.

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
1	207Q00000X	Family Medicine Physician	30256	TN
2	207Q00000X	Family Medicine Physician	C52370	CA

General Provider Information

NPI Number	:	1073515920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY EDWARD HUBER M.D.

Provider Business Mailing Address
First Line	:	2809 OLIVE HWY STE 220
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-6133
Country	:	US
Telephone Number	:	530-532-8584
Fax Number	:	520-532-8433

Provider Business Practice Location Address
First Line	:	2809 OLIVE HWY STE 220
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-6133
Country	:	US
Telephone Number	:	530-532-8584
Fax Number	:	520-532-8433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	07/08/2007

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Directions to “ TIMOTHY EDWARD HUBER M.D.” Practice Location

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