Dubosky, Jennie S.

Dubosky, Jennie S. is an individual health care provider with primary practice located at 1068 Union St , Bangor ME 04401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Dubosky, Jennie S. can be contacted via phone (207) 947-0147.

Contact Information

Primary practice address
1068 Union St Bangor ME 04401
Phone: (207) 947-0147
Fax: (207) 990-3365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X R053433 Maine
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X AS084146 Maine

Profile Details

NPI number 1265408777
LBN Legal business name Dubosky, Jennie S.
Credentials MS, A.P.R.N.,CNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jun 29th, 2010 - about 15 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 1265408777 NPPES
Maine MEDICAID 432545299

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