Goicochea, Juvenal Rodolfo
Goicochea, Juvenal Rodolfo is an sole proprietor health care provider with primary practice located at 8218 Wisconsin Ave Suite 212, Bethesda MD 20814-3107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goicochea, Juvenal Rodolfo can be contacted via phone (301) 657-9445.Contact Information
Primary practice address
8218 Wisconsin Ave Suite 212
Bethesda MD 20814-3107
Phone: (301) 657-9445
Fax: (301) 718-8626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D002450 | Maryland |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD12034 | District of Columbia |
Profile Details
| NPI number | 1528051919 |
|---|---|
| LBN Legal business name | Goicochea, Juvenal Rodolfo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jul 1st, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528051919 | NPPES |
| Other | 35460001 | CAREFIRST DC | |
| Other | 3787 | CAREFIRST DC | |
| Other | 29260 | CAREFIRST DC |
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