Individual
DR. EDWARD A HUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6255 CHAMBERSBURG ROAD, HUBER HEIGHTS, OH 45424
(937) 233-7141
(937) 233-1956
Mailing address
2912 SPRINGBORO W, STE 201, DAYTON, OH 45439-1674
(937) 297-8999
(937) 297-4852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34002371H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227899
ANTHEM
OH
01
—
0120089
UNITED HEALTHCARE
OH
05
—
0279087
—
OH
01
—
080191719
RAILROAD MEDICARE
OH
01
—
220226705
DEPT. OF LABOR WC
OH
01
—
34002371
MEDICAL LICENSE
OH
01
—
421534506094
CARESOURCE
OH
01
—
635756
AETNA
OH
01
—
D0237103
HUMANA/CHOICECARE
OH
Enumeration date
05/30/2005
Last updated
08/29/2018
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