Dubose, Patricia A

Dubose, Patricia A is an individual health care provider with primary practice located at 75 Route 2 , Ledyard CT 06339-1128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Dubose, Patricia A can be contacted via phone (860) 312-8000.

Contact Information

Primary practice address
75 Route 2 Ledyard CT 06339-1128
Fax: (860) 312-8001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 52556 Connecticut

Profile Details

NPI number 1366561508
LBN Legal business name Dubose, Patricia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Dec 30th, 2015 - about 10 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 1366561508 NPPES
Connecticut MEDICAID 008048599

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