Dubose, Jon
Dubose, Jon is an individual health care provider with primary practice located at 111 Hospital Dr , Tarboro NC 27886-2011. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dubose, Jon can be contacted via phone (252) 641-7700.Contact Information
Primary practice address
111 Hospital Dr
Tarboro NC 27886-2011
Phone: (252) 641-7700
Fax: (252) 641-7313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200101440 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 87299 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200101440 | North Carolina |
Profile Details
| NPI number | 1114920162 |
|---|---|
| LBN Legal business name | Dubose, Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Oct 12th, 2022 - about 2 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 | 1114920162 | NPPES |
| North Carolina | MEDICAID | 891330U | |
| North Carolina | MEDICAID | PENDING |
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