Coustan, Donald R

Coustan, Donald R is an individual health care provider with primary practice located at 101 Dudley St , Providence RI 02905-2401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Coustan, Donald R can be contacted via phone (401) 274-1122.

Contact Information

Primary practice address
101 Dudley St Providence RI 02905-2401
Phone: (401) 274-1122
Fax: (401) 453-7599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 6028 Rhode Island
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 6028 Rhode Island

Profile Details

NPI number 1215911367
LBN Legal business name Coustan, Donald R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 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 1215911367 NPPES
Rhode Island MEDICAID 7003805

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