Dubose, John B
Dubose, John B is an individual health care provider with primary practice located at 1344 Haile St , Camden SC 29020-3076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dubose, John B 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 7301 | South Carolina |
Profile Details
| NPI number | 1679525406 |
|---|---|
| LBN Legal business name | Dubose, John B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Feb 24th, 2012 - about 12 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 | 1679525406 | NPPES |
| South Carolina | MEDICAID | 073011 | |
| South Carolina | Other | 110143743 | |
| South Carolina | Other | 23196 |
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