Gogan, Amanda Faye

Gogan, Amanda Faye is an individual health care provider with primary practice located at 195 W Main St , Salem WV 26426-1229. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Gogan, Amanda Faye can be contacted via phone (304) 871-3053.

Contact Information

Primary practice address
195 W Main St Salem WV 26426-1229
Phone: (304) 871-3053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 2019-3712 West Virginia

Profile Details

NPI number 1154990166
LBN Legal business name Gogan, Amanda Faye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2021
Last updated Apr 6th, 2022 - about 3 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.

Request for update

Popular Providers