Dubail, Jennifer M

Dubail, Jennifer M is an individual health care provider with primary practice located at 1577 Congress St 2Nd Floor, Portland ME 04102-2169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dubail, Jennifer M can be contacted via phone (207) 662-1442.

Contact Information

Primary practice address
1577 Congress St 2Nd Floor Portland ME 04102-2169
Phone: (207) 662-1442
Fax: (207) 775-2467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X EC-05-090 Maine
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 017462 Maine

Profile Details

NPI number 1083782932
LBN Legal business name Dubail, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated May 13th, 2016 - 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 1083782932 NPPES
Maine MEDICAID 432702199

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