Gough, Stormie Rae

Gough, Stormie Rae is an individual health care provider with primary practice located at 1200 S Cedar Crest Blvd Fl 6 , Allentown PA 18103-6202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gough, Stormie Rae can be contacted via phone (610) 402-7712.

Contact Information

Primary practice address
1200 S Cedar Crest Blvd Fl 6 Allentown PA 18103-6202
Phone: (610) 402-7712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OT020219 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X OS022997 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS022997 Pennsylvania

Profile Details

NPI number 1164045209
LBN Legal business name Gough, Stormie Rae
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2020
Last updated Aug 10th, 2023 - about 2 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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