Gozaine, Teofilo
Gozaine, Teofilo is an individual health care provider with primary practice located at 830 Pennsylvania Ave Ste 204 , Charleston WV 25302-3389. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gozaine, Teofilo can be contacted via phone (304) 388-2980.Contact Information
Primary practice address
830 Pennsylvania Ave Ste 204
Charleston WV 25302-3389
Phone: (304) 388-2980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 35888 | West Virginia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 15440R | Louisiana |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 80003 | Minnesota |
Profile Details
| NPI number | 1598764102 |
|---|---|
| LBN Legal business name | Gozaine, Teofilo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Sep 29th, 2026 - about 11.071018518519 days 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 | 1598764102 | NPPES |
| West Virginia | MEDICAID | 1598764102 | |
| West Virginia | MEDICAID | 1461334 |
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