Tubin, Igor

Tubin, Igor is an individual health care provider with primary practice located at 1116 N 16Th St Ste A , Lafayette IN 47904-2119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tubin, Igor can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
1116 N 16Th St Ste A Lafayette IN 47904-2119
Fax: (765) 448-8807
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036116130 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-116130 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01062501A Indiana

Profile Details

NPI number 1144253170
LBN Legal business name Tubin, Igor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 26th, 2021 - about 5 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 1144253170 NPPES
Indiana Other 000000644782 ANTHEM PROVIDER NUMBER
Indiana Other 0533210001 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200974060 ANTHEM PROVIDER NUMBER

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