Larry E Hubbell, DC CHIROPRACTOR
Individual provider Active NPI Chiropractor · Ada, OH
NPI 1124229935 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124229935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 322 (OH)
- Practice address
- 108 N Main St
Ada, OH 45810-1108 - Phone
- (419) 634-4856
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Gillfillan Chiropractic LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 322 | OH | Yes |
Addresses
Primary practice location
108 N Main St
Ada, OH 45810-1108
Mailing address
108 North Main Street
Ada, OH 45810-1108
Phone (419) 634-4856
Other providers in Ada, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.