Goicoechea, Philip Duane
Goicoechea, Philip Duane is an individual health care provider with primary practice located at 115 West 3Rd Ste 210, Hamilton MT 59840-1150. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goicoechea, Philip Duane can be contacted via phone (406) 541-3937.Contact Information
Primary practice address
115 West 3Rd Ste 210
Hamilton MT 59840-1150
Phone: (406) 541-3937
Fax: (406) 541-1810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 378 | Montana |
Profile Details
| NPI number | 1558356824 |
|---|---|
| LBN Legal business name | Goicoechea, Philip Duane |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Apr 14th, 2010 - about 16 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 | 1558356824 | NPPES |
| Montana | MEDICAID | 0480964 | |
| Montana | Other | 807232300 |
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