Organization
L HUMBERTO COVARRUBIAS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEOPOLDO HUMBERTO COVARRUBIAS MD (OWNER)
(269) 965-6406
Entity
Organization
Contact information
Practice address
497 E COLUMBIA AVE, SUITE 15, BATTLE CREEK, MI 49015
(269) 965-6406
(269) 965-6138
Mailing address
497 E COLUMBIA AVE, SUITE 15, BATTLE CREEK, MI 49015
(269) 965-6406
(269) 965-6138
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LC039110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1530062
PHP
—
05
—
1732983
—
MI
01
—
26003076
MEDICARE RR
—
01
—
2601300171
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/26/2006
Last updated
04/20/2008
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