Gough, Kenneth Alan
Gough, Kenneth Alan is an sole proprietor health care provider with primary practice located at 3040 N Five Mile Rd Suite C, Boise ID 83713-5234. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gough, Kenneth Alan can be contacted via phone (208) 324-8484.Contact Information
Primary practice address
3040 N Five Mile Rd Suite C
Boise ID 83713-5234
Phone: (208) 324-8484
Fax: (208) 321-5084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3994 | Oregon |
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-1501 | Idaho |
Profile Details
| NPI number | 1285966598 |
|---|---|
| LBN Legal business name | Gough, Kenneth Alan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2010 |
| Last updated | Apr 25th, 2012 - about 14 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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