Gogolin, Thomas Ryan
Gogolin, Thomas Ryan is an individual health care provider with primary practice located at 1649 Brice Rd , Reynoldsburg OH 43068-2758. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Gogolin, Thomas Ryan can be contacted via phone (614) 300-5878.Contact Information
Primary practice address
1649 Brice Rd
Reynoldsburg OH 43068-2758
Phone: (614) 300-5878
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDCII.161660 | Ohio |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C.2204415 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LICDC.162176 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.170438 | Ohio |
Profile Details
| NPI number | 1639631617 |
|---|---|
| LBN Legal business name | Gogolin, Thomas Ryan |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2019 |
| Last updated | Nov 8th, 2022 - about 4 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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