De Iulio, David Mark

De Iulio, David Mark is an sole proprietor health care provider with primary practice located at 1214 Coolidge Blvd , Lafayette LA 70503-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. De Iulio, David Mark can be contacted via phone (337) 984-7828.

Contact Information

Primary practice address
1214 Coolidge Blvd Lafayette LA 70503-2621
Fax: (337) 984-7828
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD200453 Louisiana

Profile Details

NPI number 1891764999
LBN Legal business name De Iulio, David Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1891764999 NPPES
Louisiana MEDICAID 1041637

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