Lacoste, Robert
Lacoste, Robert is an individual health care provider with primary practice located at 26811 Ryan Rd , Warren MI 48091-4075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lacoste, Robert can be contacted via phone (586) 755-4433.Contact Information
Primary practice address
26811 Ryan Rd
Warren MI 48091-4075
Phone: (586) 755-4433
Fax: (586) 755-6655
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301050294 | Michigan |
Profile Details
NPI number | 1689618076 |
---|---|
LBN Legal business name | Lacoste, Robert |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689618076 | NPPES |
Michigan | MEDICAID | 4290885 |
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