Provider Demographics
NPI:1497061584
Name:DUBE, DAVID NORMAN (RN, DC, MS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NORMAN
Last Name:DUBE
Suffix:
Gender:M
Credentials:RN, DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:554 BOSTON POST RD
Mailing Address - Street 2:SUITE #5
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-2677
Mailing Address - Country:US
Mailing Address - Phone:203-283-5707
Mailing Address - Fax:203-283-5708
Practice Address - Street 1:554 BOSTON POST RD
Practice Address - Street 2:SUITE #5
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-2677
Practice Address - Country:US
Practice Address - Phone:203-283-5707
Practice Address - Fax:203-283-5708
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001230111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition