# T1D HUB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902730682
- **Authorized official:** BRIAN HUBER MD (OWNER)
- **Authorized official phone:** (574) 807-4697

## Contact information

- **Practice address:** 1710 E DAY RD, MISHAWAKA, IN 46545-4300
- **Practice address phone:** (574) 213-2514
- **Practice address fax:** (574) 990-4399
- **Mailing address:** 1710 E DAY RD, MISHAWAKA, IN 46545-4300
- **Mailing address phone:** (574) 213-2514
- **Mailing address fax:** (574) 990-4399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2026
- **Last updated:** 06/09/2026