Goulart, John W
Goulart, John W is an individual health care provider with primary practice located at 620 S Madison St Suite 108, Enid OK 73701-7270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goulart, John W can be contacted via phone (580) 234-2289.Contact Information
Primary practice address
620 S Madison St Suite 108
Enid OK 73701-7270
Phone: (580) 234-2289
Fax: (580) 249-4350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4191 | Oklahoma |
Profile Details
| NPI number | 1417957085 |
|---|---|
| LBN Legal business name | Goulart, John W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Feb 9th, 2018 - about 8 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 | 1417957085 | NPPES |
| Oklahoma | MEDICAID | 200032320A | |
| Oklahoma | Other | P00155199 | |
| Oklahoma | Other | 200032320B |
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