Provider Demographics
NPI:1285647628
Name:LUBBEN, BARBARA J (DC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:LUBBEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-3455
Mailing Address - Country:US
Mailing Address - Phone:727-726-9116
Mailing Address - Fax:727-724-8842
Practice Address - Street 1:945 MAIN ST
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3455
Practice Address - Country:US
Practice Address - Phone:727-726-9116
Practice Address - Fax:727-724-8842
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6608111N00000X
CA18513111N00000X
NYX004883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381051800Medicaid
FL381051800Medicaid
FLT18700Medicare UPIN