Dubose, Joshua Blake
Dubose, Joshua Blake is an individual health care provider with primary practice located at 4015 Interstate 45 N , Conroe TX 77304-4901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dubose, Joshua Blake can be contacted via phone (936) 756-6631.Contact Information
Primary practice address
4015 Interstate 45 N
Conroe TX 77304-4901
Phone: (936) 756-6631
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA04882 | Texas |
Profile Details
NPI number | 1700997665 |
---|---|
LBN Legal business name | Dubose, Joshua Blake |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Mar 9th, 2010 - about 14 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 | 1700997665 | NPPES |
Texas | MEDICAID | 188072603 |
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