Coutu, Ronald Bernard

Coutu, Ronald Bernard is an individual health care provider with primary practice located at 87 Elm St , Manchester NH 03101-2730. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Coutu, Ronald Bernard can be contacted via phone (603) 935-5966.

Contact Information

Primary practice address
87 Elm St Manchester NH 03101-2730
Fax: (603) 935-5968
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0588 New Hampshire

Profile Details

NPI number 1194720193
LBN Legal business name Coutu, Ronald Bernard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 18th, 2023 - about 2 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 1194720193 NPPES
New Hampshire MEDICAID 30005460

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