Dubois, Jacques Dominic

Dubois, Jacques Dominic is an individual health care provider with primary practice located at 308 Brimhall St , Saint Paul MN 55105-2430. He recently has only one registered license in Nursing Service Providers / Home Health, which is considered as his primary health care specialty. Dubois, Jacques Dominic can be contacted via phone (651) 698-8115.

Contact Information

Primary practice address
308 Brimhall St Saint Paul MN 55105-2430
Phone: (651) 698-8115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 188706-0 Minnesota

Profile Details

NPI number 1306135462
LBN Legal business name Dubois, Jacques Dominic
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Mar 29th, 2011 - 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 1306135462 NPPES
Minnesota Other 188706-0 MINNESOTA BOARD OF NURSING

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