Provider Demographics
NPI:1427714393
Name:DUBOIS, MARCEL
Entity type:Individual
Prefix:
First Name:MARCEL
Middle Name:
Last Name:DUBOIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:ME
Mailing Address - Zip Code:04271-0040
Mailing Address - Country:US
Mailing Address - Phone:207-500-3256
Mailing Address - Fax:
Practice Address - Street 1:34 HANNIBAL HAMLIN DR.
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:ME
Practice Address - Zip Code:04271-0040
Practice Address - Country:US
Practice Address - Phone:207-500-3256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN72149163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health