MEDICARE: HUBE PC

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	111N00000X	Chiropractor	2301007408	MI

General Provider Information

NPI Number	:	1538283882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUBE PC

Provider Business Mailing Address
First Line	:	113 S 12TH ST
Second Line	:
City	:	ESCANABA
State	:	MI
Zip	:	49829-3448
Country	:	US
Telephone Number	:	906-786-1428
Fax Number	:	906-786-4671

Provider Business Practice Location Address
First Line	:	113 S 12TH ST
Second Line	:
City	:	ESCANABA
State	:	MI
Zip	:	49829-3448
Country	:	US
Telephone Number	:	906-786-1428
Fax Number	:	906-786-4671

Authorized Official
Title or Position	:	OWNER
Name	:	READE L. HUBERT
Credential	:	D.C.
Telephone Number	:	906-786-1428

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	08/22/2020

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