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Contact Information

JAMIE C HUBBARD, CSA
1023 NEW MOODY LN
SUITE 102
LA GRANGE, KY40031-9177
 Phone: 502-222-0598
 Fax: 502-222-7446
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for JAMIE C HUBBARD · (Male)

NPI # 1174837637
Status Active
Credentials CSA
Entity Individual
Enumeration date 07/27/2010
Last updated 04/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 3525
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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