Golden, John W.
Golden, John W. is an sole proprietor health care provider with primary practice located at 319 18Th St , Rock Island IL 61201-8715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Golden, John W. can be contacted via phone (309) 781-0805.Contact Information
Primary practice address
319 18Th St
Rock Island IL 61201-8715
Phone: (309) 781-0805
Fax: (309) 429-6471
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036062709 | Illinois |
Profile Details
NPI number | 1417943499 |
---|---|
LBN Legal business name | Golden, John W. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 23rd, 2005 |
Last updated | Dec 19th, 2019 - about 5 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 | 1417943499 | NPPES |
Illinois | MEDICAID | 036062709 |
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