| Dr.jennifer Hubert, Inc | |
|
4357 Montgomery Dr Ste G Santa Rosa CA 95405-5304 | |
| (707) 380-1838 | |
| Not Available |
| Full Name | Dr.jennifer Hubert, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4357 Montgomery Dr Ste G, Santa Rosa, California |
| Authorized Official Name and Position | Jennifer Hubert (PRESIDENT) |
| Authorized Official Contact | 7073801838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.jennifer Hubert, Inc 2751 4th St # 185 Santa Rosa CA 95405-4726 Ph: (707) 380-1838 | Dr.jennifer Hubert, Inc 4357 Montgomery Dr Ste G Santa Rosa CA 95405-5304 Ph: (707) 380-1838 |
| NPI Number | 1376129148 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 06/13/2023 |
| Medicare PECOS PAC ID | 0749699023 |
|---|---|
| Medicare Enrollment ID | O20210518000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376129148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Nguyen Hubert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942310313 PECOS PAC ID: 0143126227 Enrollment ID: I20031209001139 |
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