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
Fax: (301) 718-8626
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528051919 NPPES
Other 35460001 CAREFIRST DC
Other 3787 CAREFIRST DC
Other 29260 CAREFIRST DC

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