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
Phone: (337) 984-7828
Fax: (337) 984-7828
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891764999 | NPPES |
Louisiana | MEDICAID | 1041637 |
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