Du Bois, Charles Oscar

Du Bois, Charles Oscar is an sole proprietor health care provider with primary practice located at 65015 Old Twenty One Rd , Cambridge OH 43725-9621. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Du Bois, Charles Oscar can be contacted via phone (740) 439-2962.

Contact Information

Primary practice address
65015 Old Twenty One Rd Cambridge OH 43725-9621
Fax: (740) 439-0502
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21017 Ohio

Profile Details

NPI number 1871624213
LBN Legal business name Du Bois, Charles Oscar
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871624213 NPPES
Ohio MEDICAID 2164410

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