Dubois, Sandie
Dubois, Sandie is an sole proprietor health care provider with primary practice located at 11553 Foothill Blvd Ste 101 , Rancho Cucamonga CA 91730-0731. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Suppliers / Prosthetic/Orthotic Supplier, Other Service Providers / Prosthetics Case Management. Other Service Providers / Prosthetics Case Management is her primary health care specialty. Dubois, Sandie can be contacted via phone (909) 961-8339.Contact Information
Primary practice address
11553 Foothill Blvd Ste 101
Rancho Cucamonga CA 91730-0731
Phone: (909) 961-8339
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | ||
| Other Service Providers / Prosthetics Case Management | 1744P3200X |
Profile Details
| NPI number | 1316572506 |
|---|---|
| LBN Legal business name | Dubois, Sandie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2020 |
| Last updated | Mar 8th, 2020 - about 4 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 | 1316572506 | NPPES |
| California | Other | KK347413 | COSMETOLOGY LICENSE |
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