AUSTIN HUBBARD
Chiropractor

Address: 295 N Broad St, Carlinville, IL 62626-1301

AUSTIN HUBBARD (NPI# 1023555166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023555166
Entity Type Individual
Full Name AUSTIN HUBBARD
Gender Male
Credential D.C
Practice Address 295 N Broad St
Carlinville
IL 62626-1301
Practice Telephone 2178548211
Practice Fax Number 2178543636
Mailing Address 295 N Broad St
Carlinville
IL 62626-1301
Mailing Telephone 2178548211
Mailing Fax Number 2178543636
Certification Date 2020-06-02
Enumeration Date 2017-01-27
Last Update Date 2020-06-02
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 111N00000X Chiropractor 038.013450 IL Chiropractic Providers
N 111N00000X Chiropractor 2017002310 MO Chiropractic Providers

Physician Overview

PECOS Associate Control (PAC) ID 4880978261
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20170302001672
Last Name HUBBARD
First Name AUSTIN
Middle Name SHERMAN THOMAS
Organization Legal Name ELITE CHIROPRACTIC OF BRANSON WEST LLC
Location 108 Silver Lady Ln, Branson West, MO 65737-7454
Phone Number 4172728484
Medical School LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year 2016
Primary Specialty CHIROPRACTIC
Group Practice PAC ID 2264713452
Number of Group Practice Members 2

Office Location

Street Address 295 N BROAD ST
City CARLINVILLE
State IL
Zip Code 62626-1301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972553410 Mark W. Wade Chiropractor 295 N Broad St, Carlinville, IL 62626-1301 2006-05-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174707939 Carlinville Chiropractic Clinic Ltd Chiropractor 295 North Broad, Carlinville, IL 62626-1301 2007-12-28

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1710521984 Cottages At Carlinville, Inc Assisted Living Facility 18804 Rt. 4, Carlinville, IL 62626 2019-10-31
1184266348 Susan Lynne Fite Pharmacist 18600 Shipman Blacktop Road, Carlinville, IL 62626 2019-10-09
1497396048 Jill Louise Kasting Pharmacist 18600 Shipman Blacktop Rd, Carlinville, IL 62626 2019-10-04
1669013215 Rebecca Lynn Sanson Pharmacist 18600 Shipman Blacktop, Carlinville, IL 62626 2019-10-04
1134561822 Fenton Family Chiropractic PC Chiropractor 490 West Side Square, Carlinville, IL 62626 2013-07-23
1992020499 Carlinville Area Hospital Association Clinic/Center · Rural Health 1115 Morgan Street #2, Carlinville, IL 62626 2010-03-29
1730213026 Carlinville Medical Clinic, Inc. Nurse Practitioner · Family 604 N. Broad, Carlinville, IL 62626 2007-03-16
1720155906 Rodney Lee Bailey Dentist · General Practice 201 Mccausland, Suite A, Carlinsville, IL 62626 2006-11-30
1255412599 Nicolas E Kravanya Dmd LLC · Kravanya & Boente Family Dentistry Dentist · General Practice 204 Oakland Ave, Carlinville, IL 62626 2006-10-17
1558456210 Locust Street Resource Center · Macoupin County Mental Health Clinic/Center · Mental Health (Including Community Mental Health Center) 320 South Locust Street, Carlinville, IL 62626 2006-10-04
Find all providers in zip 62626

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134561822 Fenton Family Chiropractic PC 490 West Side Square, Carlinville, IL 62626 2013-07-23
1093037541 Paul J Walton 110 E 1st North St, Carlinville, IL 62626-1505 2010-02-25
1578738811 Gayle M. Hebner 625 N Broad St, Carlinville, IL 62626-0316 2008-04-28
1588842215 Kenneth Edward Reckelhoff 490 W Side Sq, Carlinville, IL 62626-1796 2008-02-05
1174707939 Carlinville Chiropractic Clinic Ltd 295 North Broad, Carlinville, IL 62626-1301 2007-12-28
1972553410 Mark W. Wade 295 N Broad St, Carlinville, IL 62626-1301 2006-05-12
1720074156 Kelly Anne Calloway 228 N Chiles St, Carlinville, IL 62626-1606 2005-09-21
1780684233 Craig Andrew Tiburzi 130 Carlinville Plz, Carlinville, IL 62626-1191 2005-07-27
1407313547 Timothy John Hillis 490 W Side Sq, Carlinville, IL 62626-1796 2019-02-25
1841623261 Michelle Renee Tiburzi 130 Carlinville Plz, Carlinville, IL 62626-1191 2013-08-21
Find all providers in CARLINVILLE

Competitor

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City CARLINVILLE
Zip Code 62626

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.