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Contact Information

IDA M HUBLEIN
265 BASKINS RD
LAKELAND, GA31635-5224
 Phone: 208-599-1640
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for IDA M HUBLEIN · (Female)

NPI Number 1144796020
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2018
Last updated 10/18/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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