Hubbard, Carol L

Hubbard, Carol L is an individual health care provider with primary practice located at 1577 Congress St 1St Floor, Portland ME 04102-2169. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Hubbard, Carol L can be contacted via phone (207) 662-1622.

Contact Information

Primary practice address
1577 Congress St 1St Floor Portland ME 04102-2169
Phone: (207) 662-1622
Fax: (207) 774-1814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X MD15424 Maine
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD15424 Maine

Profile Details

NPI number 1154352342
LBN Legal business name Hubbard, Carol L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 4th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154352342 NPPES
Maine MEDICAID 315210099
Maine MEDICAID 30200714

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