Gogarty, William Shaun

Gogarty, William Shaun is an individual health care provider with primary practice located at 3225 Independence Rd , Canon City CO 81212-9380. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gogarty, William Shaun can be contacted via phone (719) 275-2351.

Contact Information

Primary practice address
3225 Independence Rd Canon City CO 81212-9380
Phone: (719) 275-2351
Fax: (719) 269-9386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34360 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34360 Colorado

Profile Details

NPI number 1871576694
LBN Legal business name Gogarty, William Shaun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Nov 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871576694 NPPES
Colorado MEDICAID 01343607

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