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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 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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