David D Chube Sr. (NPI# 1669555991, PAC ID# 2668519117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1669555991 |
PAC ID by PECOS | 2668519117 |
Professional Enrollment ID | I20091102000423 |
Full Name | David D Chube Sr. |
Organization Legal Name | CHUBE MEDICAL CORPORATION |
Address |
1701 Broadway Gary IN 46407-2238 |
Phone Number | 2198820980 |
Gender | M |
Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
Graduation Year | 1955 |
Primary Specialty | GENERAL PRACTICE |
Group Practice PAC ID | 2466599915 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150002 | METHODIST HOSPITALS INC |
Address | Phone | Organization |
---|---|---|
1701 Broadway, Gary, IN 46407-2238 | 2198820980 | CHUBE MEDICAL CORPORATION |
Organization Legal Name | CHUBE MEDICAL CORPORATION |
Physicians | 1 |
Street Address |
1701 BROADWAY |
City | GARY |
State | IN |
Zip | 46407-2238 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa A Rose | Nurse Practitioner | Planned Parenthood of Indiana and Kentucky Inc | 1124 Broadway, Gary, IN 46407-1307 |
City | GARY |
Zip Code | 46407 |
Specialty | GENERAL PRACTICE |
City + Specialty | GARY + GENERAL PRACTICE |
Please comment or provide details below to improve the information on David D Chube Sr..
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.