Couillard, Samuel L

Couillard, Samuel L is an individual health care provider with primary practice located at 550 Fort Loudoun Medical Center Dr , Lenoir City TN 37772-5673. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Couillard, Samuel L can be contacted via phone (952) 442-9770.

Contact Information

Primary practice address
550 Fort Loudoun Medical Center Dr Lenoir City TN 37772-5673
Phone: (952) 442-9770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN43073 Tennessee

Profile Details

NPI number 1679560429
LBN Legal business name Couillard, Samuel L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jul 8th, 2007 - about 18 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 1679560429 NPPES
Tennessee Other 4072021 BLUE CROSS OF TENNESSEE
Tennessee MEDICAID 3633144 BLUE CROSS OF TENNESSEE

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