Provider Demographics
NPI:1487323697
Name:RUBIN, MARGARET J (PA-C)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:J
Last Name:RUBIN
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:16909 LAKESIDE HILLS CT STE 208
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-4663
Mailing Address - Country:US
Mailing Address - Phone:402-717-6870
Mailing Address - Fax:402-717-6874
Practice Address - Street 1:16909 LAKESIDE HILLS CT STE 208
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-4663
Practice Address - Country:US
Practice Address - Phone:402-717-6870
Practice Address - Fax:402-717-6874
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE2615363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical