Dubose, Anita M

Dubose, Anita M is an individual health care provider with primary practice located at 1344 Haile St , Camden SC 29020-3076. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Dubose, Anita M can be contacted via phone (803) 432-1996.

Contact Information

Primary practice address
1344 Haile St Camden SC 29020-3076
Phone: (803) 432-1996
Fax: (803) 424-2703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AC52783 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 954 South Carolina

Profile Details

NPI number 1386696169
LBN Legal business name Dubose, Anita M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Sep 28th, 2015 - about 10 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 1386696169 NPPES
South Carolina Other 500021206 RAILROAD MEDICARE PIN
South Carolina MEDICAID NP0204 RAILROAD MEDICARE PIN

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