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
Fax: (916) 459-2403
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457462319 NPPES
California Other ZZZ26454Z MEDICARE GROUP PTAN
California MEDICAID 00G686510 MEDICARE GROUP PTAN

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