NPI | 1174030605 |
---|---|
Doing Business As | CHUBE2 PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | CRYSTAL HUNT Billing Manager 219-201-8178 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 01038347) |
Enumeration Date | 2018-01-05 |
Last Update Date | 2024-03-18 |