COLE THOMAS DEMOULPIED CORPSMAN NPI 1275205940

NPI Information

NPI: 1275205940
Provider Name: COLE THOMAS DEMOULPIED, CORPSMAN
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
2587 OLD QUARRY RD
UNIT 2232
SAN DIEGO, CA
ZIP 92108
Phone: (231) 632-4574
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Cole Thomas Demoulpied, CORPSMAN is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Cole Thomas Demoulpied, CORPSMAN NPI is 1275205940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2587 OLD QUARRY RD
UNIT 2232
SAN DIEGO, CA
ZIP 92108
Phone: (231) 632-4574

The enumeration date for this NPI number is 10/1/2021 and was last updated on 10/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171000000X	Military Health Care Provider				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	123456789	MEDICAID	CALIFORNIA
2	D541122792699	MEDICAID	DELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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