| Name: | DRS. DUBOIS & DUBOIS, LTD. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Jun 1995 (30 years ago) |
| Identification Number: | 000084773 |
| ZIP code: | 02896 |
| County: | Providence County |
| Principal Address: | 501 GREAT ROAD UNIT 102, NORTH SMITHFIELD, RI, 02896, USA |
| Purpose: | TO ENGAGE IN THE GENERAL PRACTICE OF MEDICINE AS OSTEOPATHS. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750413753 | 2007-03-12 | 2010-01-13 | 501 GREAT ROAD, UNIT 102, NORTH SMITHFIELD, RI, 02896, US | 501 GREAT ROAD, UNIT 102, NORTH SMITHFIELD, RI, 02896, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-766-6700 |
| Fax | 4017657782 |
Authorized person
| Name | DR. DAVID R DUBOIS |
| Role | PRESIDENT |
| Phone | 4017666700 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | D0307 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | D0308 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | D0428 |
| State | RI |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PILGRIM |
| Number | AA1452 |
| Issuer | UNITED HEALTH |
| Number | 0100126 |
| Issuer | TUFTS |
| Number | 404314 |
| Issuer | TUFTS |
| Number | 404336 |
| Issuer | PILGRIM |
| Number | AA1431 |
| Issuer | UNITED HEALTH |
| Number | 0100305 |
| Issuer | BLUE CHIP |
| Number | 203892 |
| Issuer | BLUE CROSS |
| Number | 30726 |
| State | RI |
| Issuer | TUFTS |
| Number | 404318 |
| Issuer | UNITED HEALTH |
| Number | 0100127 |
| Issuer | PILGRIM |
| Number | AA1430 |
| Issuer | BLUE CHIP |
| Number | 000686 |
| Issuer | BLUE CHIP |
| Number | 004921 |
| Name | Role | Address |
|---|---|---|
| DR. DAVID DUBOIS | Agent | 501 GREAT ROAD, NORTH SMITHFIELD, RI, 02896, USA |
| Name | Role | Address |
|---|---|---|
| DAVID DUBOIS | PRESIDENT | 501 GREAT ROAD UNIT 102 NORTH SMITHFIELD, RI 02986 |
| Name | Role | Address |
|---|---|---|
| CAROL JEAN DUBOIS | SECRETARY | 501 GREAT ROAD UNIT 102 NORTH SMITHFIELD, RH 02896 US |
| Name | Role | Address |
|---|---|---|
| CAROL JEAN DUBOIS | VICE PRESIDENT | 501 GREAT ROAD UNIT 102 NORTH SMITHFIELD, RH 02896 US |
| Number | Name | File Date |
|---|---|---|
| 202446174590 | Annual Report | 2024-02-12 |
| 202329401780 | Annual Report | 2023-02-27 |
| 202208295710 | Annual Report | 2022-01-20 |
| 202184910380 | Annual Report | 2021-01-07 |
| 202030952380 | Annual Report | 2020-01-02 |
| 201983954290 | Annual Report | 2019-01-08 |
| 201856609250 | Annual Report | 2018-01-23 |
| 201729547090 | Annual Report | 2017-01-05 |
| 201690910280 | Annual Report | 2016-01-20 |
| 201553812980 | Annual Report | 2015-01-16 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
