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Contact Information

TIMOTHY L HUBBARD
851 DEER RUN LAKE RD
HOLLY, MI48442-1570
 Phone: 810-358-5636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for TIMOTHY L HUBBARD · (Male)

NPI # 1699312843
Status Active
Credentials
Entity Individual
Enumeration date 12/06/2019
Last updated 12/06/2019 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704271120
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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