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Contact Information

MATTHEW L MCCOUCHA, CRNA NURSE ASSISTANT
NAVAL HOSPITAL GREAT LAKES, 3001 A 6TH STREET
GREAT LAKES, IL60088
 Phone: 847-688-3450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MATTHEW L MCCOUCHA · (Male)

NPI # 1902872062
Status Active
Credentials CRNA NURSE ASSISTANT
Entity Individual
Enumeration date 02/27/2006
Last updated 12/09/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ARNP9296655
  • VA License # 0024140275
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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