SANDIE DUBOIS NPI 1316572506

NPI Information

NPI: 1316572506
Provider Name: SANDIE DUBOIS
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
11553 FOOTHILL BLVD STE 101
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 961-8339
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Sandie Dubois is a prosthetics case management specialist in Rancho Cucamonga, CA. Sandie Dubois NPI is 1316572506. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11553 FOOTHILL BLVD STE 101
RANCHO CUCAMONGA, CA
ZIP 91730-731
Phone: (909) 961-8339

The enumeration date for this NPI number is 3/8/2020 and was last updated on 3/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	335E00000X	Prosthetic/Orthotic Supplier		No
3	1744P3200X	Specialist	Prosthetics Case Management	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	KK347413	OTHER	CALIFORNIA	COSMETOLOGY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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