Provider Demographics
NPI:1255495529
Name:DUBOIS, ALAN PETER (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:PETER
Last Name:DUBOIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 TEMPLE ST
Mailing Address - Street 2:
Mailing Address - City:WEST BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01583-1826
Mailing Address - Country:US
Mailing Address - Phone:508-852-4120
Mailing Address - Fax:
Practice Address - Street 1:500 W BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2058
Practice Address - Country:US
Practice Address - Phone:508-852-4120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MADUY35301Medicare ID - Type Unspecified