Coulson, Michael D

Coulson, Michael D is an individual health care provider with primary practice located at 1 Kish Hospital Drive , Dekalb IL 60115-9602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Coulson, Michael D can be contacted via phone (815) 756-1521.

Contact Information

Primary practice address
1 Kish Hospital Drive Dekalb IL 60115-9602
Phone: (815) 756-1521
Fax: (815) 748-8395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036077834 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036.077834 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 336.040926 Illinois

Profile Details

NPI number 1255338554
LBN Legal business name Coulson, Michael D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255338554 NPPES
Illinois MEDICAID 036077834
Illinois Other 050082135

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