Hubanks, John Mikel
Hubanks, John Mikel is an individual health care provider with primary practice located at 2902 W Agua Fria Fwy Ste 1000 , Phoenix AZ 85027-3969. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Hubanks, John Mikel can be contacted via phone (623) 582-6420.Contact Information
Primary practice address
2902 W Agua Fria Fwy Ste 1000
Phoenix AZ 85027-3969
Phone: (623) 582-6420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 51942 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 47163 | Arizona |
Profile Details
| NPI number | 1831354810 |
|---|---|
| LBN Legal business name | Hubanks, John Mikel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2008 |
| Last updated | Mar 21st, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831354810 | NPPES |
| Arizona | MEDICAID | 780254 | |
| Arizona | MEDICAID | ENROLLED | |
| Arizona | MEDICAID | ENROLLED | |
| Arizona | Other | P00970223 |
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