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Contact Information

JOHN DUBOSH, LLP
2333 BIDDLE AVE
WYANDOTTE, MI48192-4668
 Phone: 734-246-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN DUBOSH · (Male)

NPI # 1407957384
Status Active
Credentials LLP
Entity Individual
Enumeration date 09/26/2006
Last updated 03/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6801062200
  • Other 1093940272 GROUP NPI HENRY FORD WYANDOTTE
  • MI Other 0H21692 BLUE CROSS
Hospital affiliation(s)
  • HENRY FORD HOSPITAL - (Acute Care)
    2799 W GRAND BLVD
    DETROIT, MI 48202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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