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DR. JACK EDWARD HUBBARD JR. PH.D., M.D.
NPI 1194772103
Psychiatry & Neurology - Neurology in Burnsville, MN

Active since May 27, 2006
675 E NICOLLET BLVD, SUITE 100, BURNSVILLE, MN 55337(952) 435-8516(763) 302-4336 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack Edward Hubbard Jr. Ph.d., M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK EDWARD HUBBARD JR. PH.D., M.D. (NPI 1194772103) is an individual neurology provider in Burnsville, Minnesota, licensed in Minnesota (24157) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1194772103
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JACK EDWARD HUBBARD JR.Credential: PH.D., M.D.
Location Address675 E NICOLLET BLVD, SUITE 100Burnsville, MN 55337-6749
Mailing Address675 E Nicollet Blvd, Suite 100Burnsville, MN 55337-6749 · (952) 435-8516 · Fax (763) 302-4336
Phone(952) 435-8516
Fax(763) 302-4336
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateDecember 1, 2011
✔ NPI 1194772103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MN · 24157
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
675 E NICOLLET BLVD, Burnsville, MN 55337
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Other Identifiers 11

Other100285C029MN · Ucare
Other07483HUMN · Bcbs Of Mn
OtherHP13563MN · Healthpartners
Medicare UPINA94453MN
Medicare ID-Type Unspecified130000063MN · Medicare
Medicaid30478600WI
Medicaid829007500MN
Other0506197MN · Medica
Other0265006MN · Preferred One
Other130004281MN · Railroad Medicare
Other22668MN · America's Ppo

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DEBRA JEAN WEISE PT
Physical Therapist
675 E NICOLLET BLVD, #135
BURNSVILLE, MN 55337
Dakota County (952) 892-2650
NORTHSTAR DENTAL CLINIC PA
Dentist (General Practice)
675 E NICOLLET BLVD, SUITE 120
BURNSVILLE, MN 55337
Dakota County (952) 892-7700
SHANNON MARIE KELLY DPT
Physical Therapist
675 E NICOLLET BLVD, OAK RIDGE EAST #135
BURNSVILLE, MN 55337
Dakota County (952) 892-2605
JENNIFER L COLE OT
Occupational Therapist (Hand)
675 E NICOLLET BLVD, #225
BURNSVILLE, MN 55337
Dakota County (952) 892-2661
MARLENE JANE HOFFMAN PT
Physical Therapist
675 E NICOLLET BLVD, #135
BURNSVILLE, MN 55337
Dakota County (952) 892-2650
MINNESOTA HEAD AND NECK PAIN CLINIC, PA
Specialist
675 E NICOLLET BLVD, SUITE 255
BURNSVILLE, MN 55337
Dakota County (952) 892-6222
PATRICIA ZWEBER PT
Physical Therapist
675 E NICOLLET BLVD, #135
BURNSVILLE, MN 55337
Dakota County (952) 892-2650
KAREN DENISE TONSAGER P.T.
Physical Therapist
675 E NICOLLET BLVD, STE 100
BURNSVILLE, MN 55337
Dakota County (952) 898-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Hubbard's NPI number?

The NPI number for Jack Hubbard is 1194772103. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Jack Hubbard located?

Jack Hubbard practices at 675 E Nicollet Blvd Suite 100, Burnsville, MN 55337. The listed phone number is (952) 435-8516.

What is Jack Hubbard's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Jack Hubbard was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.