Dubose, Candice Nicole
Dubose, Candice Nicole is an individual health care provider with primary practice located at 1180 N Indian Canyon Dr Ste W200 , Palm Springs CA 92262-4876. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is her primary health care specialty. Dubose, Candice Nicole can be contacted via phone (760) 416-4511.Contact Information
Primary practice address
1180 N Indian Canyon Dr Ste W200
Palm Springs CA 92262-4876
Phone: (760) 416-4511
Fax: (760) 416-4512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME117189 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 33457 | Alabama |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 168477 | California |
Profile Details
| NPI number | 1124291844 |
|---|---|
| LBN Legal business name | Dubose, Candice Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2008 |
| Last updated | Nov 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 | 1124291844 | NPPES |
| Florida | MEDICAID | 009511200 |
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