Raphael, David Coleman
Raphael, David Coleman is an sole proprietor health care provider with primary practice located at 4432 Conlin St Suite 1A, Metairie LA 70006-2146. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Raphael, David Coleman can be contacted via phone (504) 888-9204.Contact Information
Primary practice address
4432 Conlin St Suite 1A
Metairie LA 70006-2146
Phone: (504) 888-9204
Fax: (504) 888-4224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2077 | Louisiana |
Profile Details
| NPI number | 1275684383 |
|---|---|
| LBN Legal business name | Raphael, David Coleman |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| 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 | 1275684383 | NPPES |
| Louisiana | MEDICAID | 1820776 |
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