Gochoco, Jose L

Gochoco, Jose L is an individual health care provider with primary practice located at 2002 N Stockton Hill Rd Suite 102, Kingman AZ 86401-4698. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Gochoco, Jose L can be contacted via phone (928) 718-4375.

Contact Information

Primary practice address
2002 N Stockton Hill Rd Suite 102 Kingman AZ 86401-4698
Phone: (928) 718-4375
Fax: (928) 222-0227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 1715 Arizona
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 1715 Arizona

Profile Details

NPI number 1639195365
LBN Legal business name Gochoco, Jose L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated May 29th, 2024 - about 7 months 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 1639195365 NPPES
Arizona MEDICAID 295487

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