Dubose, Diane W

Dubose, Diane W is an individual health care provider with primary practice located at 1141 N Monroe Drive , Xenia OH 45385. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Dubose, Diane W can be contacted via phone (937) 372-8011.

Contact Information

Primary practice address
1141 N Monroe Drive Xenia OH 45385
Phone: (937) 372-8011
Fax: (937) 376-6983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN127062 Ohio

Profile Details

NPI number 1912973751
LBN Legal business name Dubose, Diane W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1912973751 NPPES
Ohio Other 0000000381921 ANTHEM
Ohio MEDICAID 2042462 ANTHEM
Ohio Other P00260021 ANTHEM

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