Provider Demographics
NPI:1467055111
Name:BARBARA DUBOIS AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:BARBARA DUBOIS AND ASSOCIATES LLC
Other - Org Name:BARBARA DUBOIS RDN AND ASSOCIATES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER, DIETITIAN/NUTRITIONIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DUBOIS
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:860-302-0893
Mailing Address - Street 1:116 PETERS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-3700
Mailing Address - Country:US
Mailing Address - Phone:860-302-0893
Mailing Address - Fax:
Practice Address - Street 1:35 N MAIN ST STE 2A3
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-2577
Practice Address - Country:US
Practice Address - Phone:860-329-2534
Practice Address - Fax:833-516-1880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty