Van Gundy, Jeff Coulston
Van Gundy, Jeff Coulston is an individual health care provider with primary practice located at 2521 Stockton Blvd , Sacramento CA 95817-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Van Gundy, Jeff Coulston can be contacted via phone (916) 734-1461.Contact Information
Primary practice address
2521 Stockton Blvd
Sacramento CA 95817-2207
Phone: (916) 734-1461
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | C43154 | California |
Profile Details
| NPI number | 1750318390 |
|---|---|
| LBN Legal business name | Van Gundy, Jeff Coulston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Apr 24th, 2014 - about 11 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 | 1750318390 | NPPES |
| California | MEDICAID | 00C431540 |
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