Berube, Gary

Berube, Gary is an individual health care provider with primary practice located at 1270 E State Road 205 Ste 210 Suite 210, Columbia City IN 46725-8506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berube, Gary can be contacted via phone (260) 248-9230.

Contact Information

Primary practice address
1270 E State Road 205 Ste 210 Suite 210 Columbia City IN 46725-8506
Phone: (260) 248-9230
Fax: (260) 248-9249
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01048413A Indiana

Profile Details

NPI number 1881678696
LBN Legal business name Berube, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Nov 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881678696 NPPES
Indiana Other 000000111719 ANTHEM
Indiana Other 9360 ANTHEM
Indiana Other 000000570537 ANTHEM
Indiana Other 3937240002 ANTHEM
Indiana Other 00001071373 ANTHEM
Indiana MEDICAID 200210030 ANTHEM
Indiana Other 080130068 ANTHEM
Indiana Other 3937240025 ANTHEM
Indiana Other 4410292 ANTHEM

Popular Providers