Individual
DR. JASON RICHARD DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1218 9TH ST, STE 1, RUPERT, ID 83350-2207
(208) 436-4100
(208) 678-4101
Mailing address
1218 9TH ST, STE 1, RUPERT, ID 83350-2207
(208) 436-4100
(208) 678-4101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1350
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808252700
—
ID
Enumeration date
01/09/2009
Last updated
10/04/2017
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