Statements: MICHAEL BENJAMIN COUILLARD

Canonical ID: NK-R9q2H5puHzyYyRGFrbnHLA · Entity type: LegalEntity (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`LegalEntity:address`	Charlotte, NC 28204	eng	us_sc_med_exclusions	`us-medsc-ecdfbe49682e720485febf296e21c4a3d6e0c535`	2025-07-25
`LegalEntity:address`	CHARLOTTE, NC 28204	eng	us_nc_med_exclusions	`us-mednc-609cb326ede05c12d8e7408ed866ea17d810ea0d`	2024-11-29
`LegalEntity:country`	us	eng	us_sc_med_exclusions	`us-medsc-ecdfbe49682e720485febf296e21c4a3d6e0c535`	2025-07-25
`LegalEntity:country`	us	eng	us_nc_med_exclusions	`us-mednc-609cb326ede05c12d8e7408ed866ea17d810ea0d`	2024-09-12
`LegalEntity:id`	f47833177eb4e9d84b303534ac50e89e4cd73c28	eng	us_sc_med_exclusions	`us-medsc-ecdfbe49682e720485febf296e21c4a3d6e0c535`	2025-07-25
`LegalEntity:id`	c86c8d97d8030b6bc83596265225170d27ecfb87	eng	us_nc_med_exclusions	`us-mednc-609cb326ede05c12d8e7408ed866ea17d810ea0d`	2024-11-29
`LegalEntity:name`	Couillard, Michael B.	eng	us_sc_med_exclusions	`us-medsc-ecdfbe49682e720485febf296e21c4a3d6e0c535`	2025-07-25
`LegalEntity:name`	MICHAEL BENJAMIN COUILLARD	eng	us_nc_med_exclusions	`us-mednc-609cb326ede05c12d8e7408ed866ea17d810ea0d`	2024-09-12
`LegalEntity:npiCode`	1386692499	eng	us_sc_med_exclusions	`us-medsc-ecdfbe49682e720485febf296e21c4a3d6e0c535`	2025-07-25
`LegalEntity:npiCode`	1386692499	eng	us_nc_med_exclusions	`us-mednc-609cb326ede05c12d8e7408ed866ea17d810ea0d`	2024-09-12
`LegalEntity:sector`	Ind-Lic HC Serv Prov - Nurse Anesthetist	eng	us_sc_med_exclusions	`us-medsc-ecdfbe49682e720485febf296e21c4a3d6e0c535`	2025-07-25
`LegalEntity:topics`	debarment	eng	us_sc_med_exclusions	`us-medsc-ecdfbe49682e720485febf296e21c4a3d6e0c535`	2025-07-25
`LegalEntity:topics`	debarment	eng	us_nc_med_exclusions	`us-mednc-609cb326ede05c12d8e7408ed866ea17d810ea0d`	2024-09-12

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