Individual
DR. JOSEPH EDWARD HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
(765) 448-7613
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02003670A
IN
207X00000X
Orthopaedic Surgery Physician
5101016139
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000670109
ANTHEM PROVIDER NUMBER
IN
05
—
200987630
—
IN
Enumeration date
04/26/2007
Last updated
01/14/2021
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