Dubois, Craig Daniel

Dubois, Craig Daniel is an individual health care provider with primary practice located at 124 Professional Park Dr Suite A, Mooresville NC 28117-5537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dubois, Craig Daniel can be contacted via phone (704) 662-3077.

Contact Information

Primary practice address
124 Professional Park Dr Suite A Mooresville NC 28117-5537
Fax: (704) 662-3458
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 9400239 North Carolina

Profile Details

NPI number 1164414819
LBN Legal business name Dubois, Craig Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 30th, 2012 - about 13 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 1164414819 NPPES
North Carolina MEDICAID 89013KP

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