Duchesne, Rafael O
Duchesne, Rafael O is an individual health care provider with primary practice located at 1506 Broadrick Dr , Dalton GA 30720-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Duchesne, Rafael O can be contacted via phone (706) 278-3430.Contact Information
Primary practice address
1506 Broadrick Dr
Dalton GA 30720-3011
Phone: (706) 278-3430
Fax: (706) 279-1327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 041424 | Georgia |
Profile Details
| NPI number | 1588657332 |
|---|---|
| LBN Legal business name | Duchesne, Rafael O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Feb 21st, 2017 - about 8 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 | 1588657332 | NPPES |
| Georgia | MEDICAID | 00867061A |
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