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Organization
CHARLES H. HUBER, M.D.
Active
Organization
CHARLES H. HUBER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H HUBER MD (OWNER)
(502) 419-1109
Entity
Organization
Contact information
Practice address
3901 GREENHAVEN LN, GOSHEN, KY 40026-8755
(502) 419-1109
(502) 222-6116
Mailing address
PO BOX 236, GOSHEN, KY 40026-0236
(502) 419-1109
(502) 222-6116
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
151384
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045756
ANTHEM PROVIDER NUMBER
KY
01
—
0700276
UHC PROVIDER NUMBER
KY
01
—
1049936
PASSPORT PROVIDER NUMBER
KY
Enumeration date
04/19/2007
Last updated
08/22/2020
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