Goulooze, Martin John

Goulooze, Martin John is an individual health care provider with primary practice located at 1850 Mcculloch Blvd N Ste C5 , Lake Havasu City AZ 86403-5798. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goulooze, Martin John can be contacted via phone (928) 855-1220.

Contact Information

Primary practice address
1850 Mcculloch Blvd N Ste C5 Lake Havasu City AZ 86403-5798
Fax: (928) 855-1221
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3688 Arizona

Profile Details

NPI number 1700915519
LBN Legal business name Goulooze, Martin John
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jun 30th, 2022 - about 4 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 1700915519 NPPES
Arizona Other AZ152098 MEDICARE

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