Gouch, John B

Gouch, John B is an individual health care provider with primary practice located at 3616 Michigan Ave , Charlotte NC 28215. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gouch, John B can be contacted via phone (704) 537-6636.

Contact Information

Primary practice address
3616 Michigan Ave Charlotte NC 28215
Phone: (704) 537-6636
Fax: (704) 537-5005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3922 North Carolina

Profile Details

NPI number 1043270846
LBN Legal business name Gouch, John B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 8th, 2007 - about 19 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 1043270846 NPPES
North Carolina MEDICAID 8993292

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