Dubois, Susan Kathleen
Dubois, Susan Kathleen is an individual health care provider with primary practice located at 2901 Montopolis Dr , Austin TX 78741-6411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Dubois, Susan Kathleen can be contacted via phone (512) 978-9901.Contact Information
Primary practice address
2901 Montopolis Dr
Austin TX 78741-6411
Phone: (512) 978-9901
Fax: (512) 901-9765
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | H6178 | Texas |
Profile Details
NPI number | 1114091675 |
---|---|
LBN Legal business name | Dubois, Susan Kathleen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2006 |
Last updated | Jun 10th, 2016 - about 8 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 | 1114091675 | NPPES |
Texas | MEDICAID | 147296102 | |
Texas | Other | 8U0684 | |
Texas | Other | 743009528 | |
Texas | Other | 8X7501 |
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