Lacourse, Jeffrey H

Lacourse, Jeffrey H is an individual health care provider with primary practice located at 201 E Grover St , Shelby NC 28150-3917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lacourse, Jeffrey H can be contacted via phone (980) 487-3678.

Contact Information

Primary practice address
201 E Grover St Shelby NC 28150-3917
Phone: (980) 487-3678
Fax: (980) 487-3294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 215918 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2006-01936 North Carolina

Profile Details

NPI number 1578565032
LBN Legal business name Lacourse, Jeffrey H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jan 23rd, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578565032 NPPES
North Carolina MEDICAID 1578565032
North Carolina MEDICAID 5905709
North Carolina MEDICAID N01936

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