Organization Name: | DUBIN ORTHOPAEDIC CENTRE, P.S.C. |
NPI Number: | 1467596585 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD S. DUBIN (PRESIDENT) |
Mailing Address: | 705 N 12th St Suite 100 Middlesboro |
State: | KY US |
Postal Code: | 409651835 |
Phone Number: | 6062480050 |
Fax Number: | 6062488711 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 03/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA679 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |