Marcoux, David A
Marcoux, David A is an individual health care provider with primary practice located at 407 East Ave Suite 120, Pawtucket RI 02860-5299. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Marcoux, David A can be contacted via phone (401) 725-4739.Contact Information
Primary practice address
407 East Ave Suite 120
Pawtucket RI 02860-5299
Phone: (401) 725-4739
Fax: (401) 725-4740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD7976 | Rhode Island |
Profile Details
| NPI number | 1730140864 |
|---|---|
| LBN Legal business name | Marcoux, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | May 6th, 2022 - about 4 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 | 1730140864 | NPPES |
| Other | 5117244 | AETNA | |
| Other | 04-07275 | AETNA | |
| Other | 1730140864 | AETNA | |
| Other | 21726-4 | AETNA | |
| Other | 406226 | AETNA | |
| Other | 202696 | AETNA | |
| Other | AA34962 | AETNA | |
| Other | 2973 | AETNA | |
| MEDICAID | 7002341 | AETNA |
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