# ANTHONY HUBBUCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336104447
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 15514 | KY | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 07/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000350760 | ANTHEM / NCMA | KY |
| 01 | — | 000028412J | HUMANA / NCMA | KY |
| 01 | — | 047929 | SIHO / NCMA | KY |
| 01 | — | 1184115 | CHA / NCMA | KY |
| 05 | — | 200506590 | — | IN |
| 01 | — | 2446880000 | PASSPORT ADVANTAGE / NCMA | KY |
| 01 | — | 50005577 | PASSPORT / NCMA | KY |
| 05 | — | 64162563 | — | KY |
| 01 | — | P00176900 | RAILROAD MEDICARE | KY |
