Provider Demographics
NPI:1922598515
Name:CHERUVELIL, JUBIN JOSEPH (PHD)
Entity Type:Individual
Prefix:DR
First Name:JUBIN
Middle Name:JOSEPH
Last Name:CHERUVELIL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:446 W. CIRCLE DR. ROOM 249 ANNEX
Mailing Address - Street 2:JUSTIN S. MORRILL HALL OF AGRICULTURE
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824
Mailing Address - Country:US
Mailing Address - Phone:517-432-7604
Mailing Address - Fax:517-353-4846
Practice Address - Street 1:446 W. CIRCLE DR. ROOM 249 ANNEX
Practice Address - Street 2:JUSTIN S. MORRILL HALL OF AGRICULTURE
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48824
Practice Address - Country:US
Practice Address - Phone:517-432-7604
Practice Address - Fax:517-353-4846
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other