1528701984 NPI number — MR. OLIVIER MICHAUD M.D.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528701984 NPI number — MR. OLIVIER MICHAUD M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MICHAUD
Provider First Name:
OLIVIER
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528701984
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/07/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
156, CREMAZIE STREET EAST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
QUEBEC CITY
Provider Business Mailing Address State Name:
QUEBEC
Provider Business Mailing Address Postal Code:
G1R 1Y2
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1050 CH. SAINTE-FOY, HOSPITAL SAINT-SACREMENT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
QUEBEC CITY
Provider Business Practice Location Address State Name:
QUEBEC
Provider Business Practice Location Address Postal Code:
G1S 4L8
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
418-682-7511
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0101X , with the licence number:  R24141 , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)