Couillard, David R
Couillard, David R is an individual health care provider with primary practice located at 584 N Sunrise Ave Ste 100 , Roseville CA 95661-2862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Couillard, David R can be contacted via phone (916) 251-3063.Contact Information
Primary practice address
584 N Sunrise Ave Ste 100
Roseville CA 95661-2862
Phone: (916) 251-3063
Fax: (916) 459-2403
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | G68651 | California |
Profile Details
NPI number | 1457462319 |
---|---|
LBN Legal business name | Couillard, David R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Jan 23rd, 2020 - about 5 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 | 1457462319 | NPPES |
California | Other | ZZZ26454Z | MEDICARE GROUP PTAN |
California | MEDICAID | 00G686510 | MEDICARE GROUP PTAN |
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