Goggin, Andrew S
Goggin, Andrew S is an sole proprietor health care provider with primary practice located at 308 W College Ave , Greenville IL 62246. 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. Goggin, Andrew S can be contacted via phone (618) 664-0771.Contact Information
Primary practice address
308 W College Ave
Greenville IL 62246
Phone: (618) 664-0771
Fax: (618) 664-3915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036108090 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036108090 | Illinois |
Profile Details
| NPI number | 1336123165 |
|---|---|
| LBN Legal business name | Goggin, Andrew S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Dec 13th, 2023 - about last year |
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 | 1336123165 | NPPES |
| Illinois | MEDICAID | 036108090-2 | |
| Illinois | MEDICAID | 036108090 | |
| Illinois | MEDICAID | 1336123165 |
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