DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHALIF DUBOSE, MS LAT ATC

Active Sole Proprietor

KHALIF DUBOSE, MS LAT ATC is a Athletic Trainer healthcare provider located in NORTH BRUNSWICK, New Jersey. NPI 1194473363 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · NORTH BRUNSWICK, NJ

Registration Details

NPI Number
1194473363
Provider Type
Individual
Gender
Male
NPI Issued
Mar 16, 2022 (4.3717313481247 yrs)
Last Updated
Mar 16, 2022
License
25MT00303800 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1133 LIVINGSTON AVE APT 9
NORTH BRUNSWICK, NJ, 089023807
Browse NJ providers · Browse ZIP 08902
Phone
7324707309
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in NORTH BRUNSWICK, NJ

Name Credential NPI
MISS JULIE ANN YOUNGMAN 1720544430
TIMOTHY MANCUSO 1962052795
SEAN BREHENEY 1912617341
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.