Golden, John W.

Golden, John W. is an sole proprietor health care provider with primary practice located at 319 18Th St , Rock Island IL 61201-8715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Golden, John W. can be contacted via phone (309) 781-0805.

Contact Information

Primary practice address
319 18Th St Rock Island IL 61201-8715
Phone: (309) 781-0805
Fax: (309) 429-6471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036062709 Illinois

Profile Details

NPI number 1417943499
LBN Legal business name Golden, John W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Dec 19th, 2019 - about 7 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 1417943499 NPPES
Illinois MEDICAID 036062709

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