Organization Name: | CHARLES G. HUBBELL MD PS |
NPI Number: | 1538210992 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES G. HUBBELL (PRESIDENT) |
Mailing Address: | 1901 S Union Ave Suite A229 Tacoma |
State: | WA US |
Postal Code: | 984051702 |
Phone Number: | 2533833377 |
Fax Number: | 2533830716 |
NPI Enumeration Date: | 01/14/2007 |
NPI Last Update Date: | 07/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD0014307 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |