Provider Demographics
NPI:1386625721
Name:POULAIN, FRANCIS R
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:R
Last Name:POULAIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NEONATOLOGY, SURGE I, RM 1121
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616
Mailing Address - Country:US
Mailing Address - Phone:530-754-7799
Mailing Address - Fax:530-752-6215
Practice Address - Street 1:2315 STOCKTON BLVD
Practice Address - Street 2:NICU
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:916-703-3050
Practice Address - Fax:916-703-3055
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA458122080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A458120Medicare ID - Type Unspecified
E71383Medicare UPIN