Coutlakis, Peter J.

Coutlakis, Peter J. is an individual health care provider with primary practice located at 1401 Johnston Willis Dr Ste 1200, Richmond VA 23235-4730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Coutlakis, Peter J. can be contacted via phone (804) 323-1401.

Contact Information

Primary practice address
1401 Johnston Willis Dr Ste 1200 Richmond VA 23235-4730
Fax: (804) 323-1850
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 0101053577 Virginia

Profile Details

NPI number 1528064482
LBN Legal business name Coutlakis, Peter J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Nov 17th, 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 1528064482 NPPES
Virginia MEDICAID 5838533

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