Dubois, David Allan
Dubois, David Allan is an sole proprietor health care provider with primary practice located at 3332 21St Ave S , Minneapolis MN 55407-2412. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Dubois, David Allan can be contacted via phone (612) 296-9444.Contact Information
Primary practice address
3332 21St Ave S
Minneapolis MN 55407-2412
Phone: (612) 296-9444
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2840 | Minnesota |
Profile Details
NPI number | 1720084502 |
---|---|
LBN Legal business name | Dubois, David Allan |
Credentials | MASTERS OF ARTS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 25th, 2005 |
Last updated | Oct 21st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720084502 | NPPES |
Minnesota | Other | 0004399432 | AETNA INS. CO. |
Minnesota | Other | 2347539-00 | AETNA INS. CO. |
Minnesota | Other | 123475 | AETNA INS. CO. |
Minnesota | Other | 030822002 | AETNA INS. CO. |
Minnesota | Other | 57332-DU | AETNA INS. CO. |
Minnesota | Other | 6276558 | AETNA INS. CO. |
Minnesota | MEDICAID | 234753900 | AETNA INS. CO. |
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