Provider Demographics
NPI:1316906969
Name:HUBICKEY, WALTER JOHN (DO)
Entity type:Individual
Prefix:DR
First Name:WALTER
Middle Name:JOHN
Last Name:HUBICKEY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:401 MERIDIAN STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801
Mailing Address - Country:US
Mailing Address - Phone:256-705-3937
Mailing Address - Fax:256-533-3213
Practice Address - Street 1:401 MERIDIAN STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-705-3937
Practice Address - Fax:256-533-3213
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2020-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALDO428207W00000X
ALDO-428207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF99683Medicare UPIN
F99683Medicare UPIN
AL051523640Medicare ID - Type Unspecified