Provider Demographics
NPI:1376973123
Name:HUBBARD, RACHAEL (LM)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9174 SPARKLING SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SINGERS GLEN
Mailing Address - State:VA
Mailing Address - Zip Code:22850-2508
Mailing Address - Country:US
Mailing Address - Phone:540-476-2427
Mailing Address - Fax:
Practice Address - Street 1:9174 SPARKLING SPRINGS RD
Practice Address - Street 2:
Practice Address - City:SINGERS GLEN
Practice Address - State:VA
Practice Address - Zip Code:22850-2508
Practice Address - Country:US
Practice Address - Phone:540-476-2427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000093176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife