Alcouloumre, Eric Mark

Alcouloumre, Eric Mark is an individual health care provider with primary practice located at 1 Hoag Dr Ecu Dept., Newport Beach CA 92663-4162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Alcouloumre, Eric Mark can be contacted via phone (949) 637-9158.

Contact Information

Primary practice address
1 Hoag Dr Ecu Dept. Newport Beach CA 92663-4162
Phone: (949) 637-9158
Fax: (405) 751-3183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G44915 California

Profile Details

NPI number 1568425312
LBN Legal business name Alcouloumre, Eric Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jun 21st, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568425312 NPPES
California Other 00G443150 BLUE SHIELD
California MEDICAID 00G449150670 BLUE SHIELD
California Other P00242778 BLUE SHIELD
California Other V/17054 BLUE SHIELD
California MEDICAID 00G449150 BLUE SHIELD

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