Individual
MS. DEIRDRE J HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42581 ROUTE 6, WYALUSING, PA 18853
(570) 746-3749
Mailing address
PO BOX 279, 42581 ROUTE 6, WYALUSING, PA 18853-0279
(570) 746-3749
(570) 746-0918
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9593
NY
111N00000X
Chiropractor
Primary
DC008031L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018696930002
—
PA
01
—
813695
FIRST PRIORITY
—
01
—
929376
BCBS
—
Enumeration date
10/27/2005
Last updated
09/09/2010
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