Goossens, Jan Barry
Goossens, Jan Barry is an individual health care provider with primary practice located at 1400 N 500 E , Logan UT 84341-2455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Goossens, Jan Barry can be contacted via phone (435) 716-1000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10886108-1205 | Utah |
Profile Details
| NPI number | 1881678399 |
|---|---|
| LBN Legal business name | Goossens, Jan Barry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Apr 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881678399 | NPPES |
| New York | Other | CC8362 | RR MEDICARE GROUP |
| New York | Other | 110225752 | RR MEDICARE GROUP |
| New York | Other | GU040042 | RR MEDICARE GROUP |
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