Provider Demographics
NPI:1326619008
Name:RUBBYN LLC
Entity Type:Organization
Organization Name:RUBBYN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:NWONYE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, RHIT
Authorized Official - Phone:248-890-5716
Mailing Address - Street 1:24850 GREEN VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3253
Mailing Address - Country:US
Mailing Address - Phone:248-890-5716
Mailing Address - Fax:
Practice Address - Street 1:24850 GREEN VALLEY ST
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-3253
Practice Address - Country:US
Practice Address - Phone:248-890-5716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-05
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty