Hubbard, Scott E

Hubbard, Scott E is an individual health care provider with primary practice located at 10415 Wallace Alley St , Kingsport TN 37663-3936. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hubbard, Scott E can be contacted via phone (423) 390-0451.

Contact Information

Primary practice address
10415 Wallace Alley St Kingsport TN 37663-3936
Phone: (423) 390-0451
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN0000096922 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 10807 Tennessee

Profile Details

NPI number 1699768549
LBN Legal business name Hubbard, Scott E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Feb 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699768549 NPPES
Tennessee MEDICAID 3628726

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