Provider Demographics
NPI:1295269645
Name:HUBBLE, BAYLEY ECK (DO)
Entity type:Individual
Prefix:MRS
First Name:BAYLEY
Middle Name:ECK
Last Name:HUBBLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:8585 PICARDY AVE STE 414
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3749
Mailing Address - Country:US
Mailing Address - Phone:225-763-4764
Mailing Address - Fax:225-763-4549
Practice Address - Street 1:3401 NORTH BLVD STE 130
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806
Practice Address - Country:US
Practice Address - Phone:225-387-7900
Practice Address - Fax:225-381-2737
Is Sole Proprietor?:No
Enumeration Date:2017-04-12
Last Update Date:2020-09-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA322743207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine