Coutu, Ronald E

Coutu, Ronald E is an individual health care provider with primary practice located at 830 Oak St Suite 105W, Brockton MA 02301-1168. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Coutu, Ronald E can be contacted via phone (508) 586-2264.

Contact Information

Primary practice address
830 Oak St Suite 105W Brockton MA 02301-1168
Phone: (508) 586-2264
Fax: (508) 897-4779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30259 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 30259 Massachusetts

Profile Details

NPI number 1548255433
LBN Legal business name Coutu, Ronald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 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 1548255433 NPPES
Massachusetts MEDICAID 2093343

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