Da Costa, David

Da Costa, David is an individual health care provider with primary practice located at 2799 W Grand Blvd Wp 3 Nicu, Detroit MI 48202-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Da Costa, David can be contacted via phone (313) 916-3146.

Contact Information

Primary practice address
2799 W Grand Blvd Wp 3 Nicu Detroit MI 48202-2608
Phone: (313) 916-3146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 4301080608 Michigan

Profile Details

NPI number 1770542771
LBN Legal business name Da Costa, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 20th, 2012 - about 12 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 1770542771 NPPES
Michigan MEDICAID 4764031
Michigan Other 350F361320

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