AUSTIN HUBBARD (NPI# 1023555166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023555166 |
| Entity Type | Individual |
| Full Name | AUSTIN HUBBARD |
| Credential | D.C |
| Practice Address |
295 N Broad St Carlinville IL 62626-1301 |
| Practice Telephone | 2178548211 |
| Practice Fax Number | 2178543636 |
| Mailing Telephone | 2178548211 |
| Mailing Fax Number | 2178543636 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2020-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.013450 | IL | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 2017002310 | MO | Chiropractic Providers |
| Street Address |
295 N BROAD ST |
| City | CARLINVILLE |
| State | IL |
| Zip Code | 62626-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972553410 | Mark W. Wade | Chiropractor | 295 N Broad St, Carlinville, IL 62626-1301 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1184266348 | Susan Lynne Fite | Pharmacist | 18600 Shipman Blacktop Road, Carlinville, IL 62626 | 2019-10-09 |
| 1669013215 | Rebecca Lynn Sanson | Pharmacist | 18600 Shipman Blacktop, Carlinville, IL 62626 | 2019-10-04 |
| 1497396048 | Jill Louise Kasting | Pharmacist | 18600 Shipman Blacktop Rd, Carlinville, IL 62626 | 2019-10-04 |
| 1134561822 | Fenton Family Chiropractic PC | Chiropractor | 490 West Side Square, Carlinville, IL 62626 | 2013-07-23 |
| 1992020499 | Carlinville Area Hospital Association | Clinic/Center | 1115 Morgan Street #2, Carlinville, IL 62626 | 2010-03-29 |
| 1730213026 | Carlinville Medical Clinic, Inc. | Nurse Practitioner | 604 N. Broad, Carlinville, IL 62626 | 2007-03-16 |
| 1720155906 | Rodney Lee Bailey | Dentist | 201 Mccausland, Suite A, Carlinsville, IL 62626 | 2006-11-30 |
| 1255412599 | Nicolas E Kravanya Dmd LLC | Dentist | 204 Oakland Ave, Carlinville, IL 62626 | 2006-10-17 |
| 1558456210 | Locust Street Resource Center | Clinic/Center | 320 South Locust Street, Carlinville, IL 62626 | 2006-10-04 |
| Find all providers in zip 62626 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134561822 | Fenton Family Chiropractic PC | Chiropractor | 490 West Side Square, Carlinville, IL 62626 | 2013-07-23 |
| 1093037541 | Paul J Walton | Chiropractor | 110 E 1st North St, Carlinville, IL 62626-1505 | 2010-02-25 |
| 1578738811 | Gayle M. Hebner | Chiropractor | 625 N Broad St, Carlinville, IL 62626-0316 | 2008-04-28 |
| 1588842215 | Kenneth Edward Reckelhoff | Chiropractor | 490 W Side Sq, Carlinville, IL 62626-1796 | 2008-02-05 |
| 1174707939 | Carlinville Chiropractic Clinic Ltd | Chiropractor | 295 North Broad, Carlinville, IL 62626-1301 | 2007-12-28 |
| 1972553410 | Mark W. Wade | Chiropractor | 295 N Broad St, Carlinville, IL 62626-1301 | 2006-05-12 |
| 1720074156 | Kelly Anne Calloway | Chiropractor | 228 N Chiles St, Carlinville, IL 62626-1606 | 2005-09-21 |
| 1780684233 | Craig Andrew Tiburzi | Chiropractor | 130 Carlinville Plz, Carlinville, IL 62626-1191 | 2005-07-27 |
| 1407313547 | Timothy John Hillis | Chiropractor | 490 W Side Sq, Carlinville, IL 62626-1796 | 2019-02-25 |
| 1841623261 | Michelle Renee Tiburzi | Chiropractor | 130 Carlinville Plz, Carlinville, IL 62626-1191 | 2013-08-21 |
| Find all providers in CARLINVILLE | ||||
| City | CARLINVILLE |
| Zip Code | 62626 |
Please comment or provide details below to improve the information on AUSTIN HUBBARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.