Individual
RUSSELL C HUBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3 MAIN ST UNIT 2, EASTHAM, MA 02642-2169
(508) 744-3648
(508) 744-3649
Mailing address
3 MAIN ST UNIT 2, EASTHAM, MA 02642-2169
(508) 744-3648
(508) 744-3649
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110030509A
—
MA
01
—
351951
HARVARD PILGRIM HEALTH
MA
01
—
704353
UNITED HEALTHCARE ACN GRO
—
01
—
Y36492
BCBS OF MA
MA
Enumeration date
04/30/2007
Last updated
08/25/2014
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