Gogel, Philip F

Gogel, Philip F is an individual health care provider with primary practice located at 505 Buckeye Dr , Troy IL 62294-2315. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Gogel, Philip F can be contacted via phone (314) 481-5000.

Contact Information

Primary practice address
505 Buckeye Dr Troy IL 62294-2315
Phone: (314) 481-5000
Fax: (314) 481-3037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036114471 Illinois
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 2005037958 Missouri

Profile Details

NPI number 1942280797
LBN Legal business name Gogel, Philip F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Feb 18th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942280797 NPPES
Missouri Other 431941391 TAX ID
Missouri MEDICAID 505738906 TAX ID
Missouri MEDICAID 03611471 TAX ID

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