Coco, Phillip Michael
Coco, Phillip Michael is an individual health care provider with primary practice located at 401 Rainbow Dr Unit 6 , Pineville LA 71360-6979. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Coco, Phillip Michael can be contacted via phone (318) 484-2168.Contact Information
Primary practice address
401 Rainbow Dr Unit 6
Pineville LA 71360-6979
Phone: (318) 484-2168
Fax: (318) 487-5453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LAC #798 | Louisiana |
Profile Details
| NPI number | 1306950449 |
|---|---|
| LBN Legal business name | Coco, Phillip Michael |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Feb 4th, 2010 - about 14 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306950449 | NPPES |
| Louisiana | Other | G9759 | BLUECROSSBLUESHIELD |
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