MR. GERARD JOHN-CHARLES COUGHLIN DPM STUDENT NPI 1104457159

NPI Information

NPI: 1104457159
Provider Name: MR. GERARD JOHN-CHARLES COUGHLIN, DPM STUDENT
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
SAMUEL MERRITT UNIVERSITY
3100 TELEGRAPH AVENUE
OAKLAND, CA
ZIP 94609
Phone: (805) 437-9742
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MR. Gerard John-charles Coughlin, DPM STUDENT is a student in an organized health care education training program in Oakland, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Gerard John-charles Coughlin, DPM STUDENT NPI is 1104457159. 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:

SAMUEL MERRITT UNIVERSITY
3100 TELEGRAPH AVENUE
OAKLAND, CA
ZIP 94609
Phone: (805) 437-9742

The enumeration date for this NPI number is 1/29/2020 and was last updated on 1/29/2020.

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	390200000X	Student in an Organized Health Care Education/Training Program			CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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