Goggin, Mark T.
Goggin, Mark T. is an individual health care provider with primary practice located at 1515 Maple Dr , Cambridge OH 43725-1162. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goggin, Mark T. can be contacted via phone (740) 439-3515.Contact Information
Primary practice address
1515 Maple Dr
Cambridge OH 43725-1162
Phone: (740) 439-3515
Fax: (740) 432-6427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35069467 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35069467 | Ohio |
Profile Details
| NPI number | 1518962612 |
|---|---|
| LBN Legal business name | Goggin, Mark T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Oct 26th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518962612 | NPPES |
| Ohio | MEDICAID | 0248762 |
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