Provider Demographics
NPI:1003405259
Name:JMJ HUBBARD CORPORATION
Entity Type:Organization
Organization Name:JMJ HUBBARD CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-938-9303
Mailing Address - Street 1:1270 SPRINGBROOK RD STE A
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3941
Mailing Address - Country:US
Mailing Address - Phone:925-938-9303
Mailing Address - Fax:
Practice Address - Street 1:1270 SPRINGBROOK RD STE A
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3941
Practice Address - Country:US
Practice Address - Phone:925-938-9303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty