Dubois, Gary Dean
Dubois, Gary Dean is an individual health care provider with primary practice located at 1117 S Douglas Blvd Ste D, Midwest City OK 73130-5262. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Dubois, Gary Dean can be contacted via phone (405) 741-8686.Contact Information
Primary practice address
1117 S Douglas Blvd Ste D
Midwest City OK 73130-5262
Phone: (405) 741-8686
Fax: (405) 733-9621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12879 | Oklahoma |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 12879 | Oklahoma |
Profile Details
| NPI number | 1831182039 |
|---|---|
| LBN Legal business name | Dubois, Gary Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Feb 20th, 2008 - about 18 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 | 1831182039 | NPPES |
| Oklahoma | MEDICAID | 100117310A |
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