Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0100X | Occupational Health | 18783 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 18783 | CA |
NPI | 1649482027 |
---|---|
Provider Name | Dr. Robert E. Dubro |
First Address | Fremont, CA 94539-7914 |
Second Address | Fremont, CA 94539-7914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U33650 | (02) | CA |