Dubose, Richard Alan

Dubose, Richard Alan is an individual health care provider with primary practice located at 600 N Robbins Rd Suite 300, Boise ID 83702-4565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Dubose, Richard Alan can be contacted via phone (208) 489-4016.

Contact Information

Primary practice address
600 N Robbins Rd Suite 300 Boise ID 83702-4565
Phone: (208) 489-4016
Fax: (208) 489-4015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X M7865 Idaho

Profile Details

NPI number 1821156365
LBN Legal business name Dubose, Richard Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jan 15th, 2013 - about 11 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 1821156365 NPPES
Idaho Other 000010005570 BLUE SHIELD OF IDAHO
Idaho MEDICAID 1821156365 BLUE SHIELD OF IDAHO
Idaho Other 185570800 BLUE SHIELD OF IDAHO
Idaho Other 57430 BLUE SHIELD OF IDAHO

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