Loeb Gogan, Sandra

Loeb Gogan, Sandra is an individual health care provider with primary practice located at 2280 S River Rd , Melbourne Beach FL 32951-2932. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Loeb Gogan, Sandra can be contacted via phone (321) 258-8245.

Contact Information

Primary practice address
2280 S River Rd Melbourne Beach FL 32951-2932
Phone: (321) 258-8245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X E-4180 Arkansas

Profile Details

NPI number 1639289184
LBN Legal business name Loeb Gogan, Sandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639289184 NPPES
Indiana Other 01043833A LICENSE
Indiana MEDICAID 200124250 LICENSE

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