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Contact Information

CHARLES H HUBBERT, MD
MEMPHIS VA HOSPITAL, DEPT. NEUROLOGY
1030 JEFFERSON AVENUE
MEMPHIS, TN38104
 Phone: 901-577-8990
 Fax: 901-577-7486
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CHARLES H HUBBERT · (Male)

NPI # 1306994611
Status Active
Credentials MD
Entity Individual
Enumeration date 01/05/2007
Last updated 07/30/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 5460
  • TN License # MD5460
  • TN Medicaid 3102034
  • TN Other 4159798 BCBS OF TN
  • TN Other 31020301 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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