Doctor Name: | DAVID J HUBBARD |
NPI Number: | 1417396284 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 3550 Highway, 468 West Fiscal Services Whitfield, MS - 391930157 |
Business Phone Number: | 6013518000 |
Business Fax Number: | |
Mailing Address: | P.o. Box 1 - Fiscal Services, 3550 Highway, 468 West WHITFIELD |
State: | MS |
Postal Code: | 391930157 |
Phone Number: | 6013518000 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2013 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |