Gooch, Mary K
Gooch, Mary K is an individual health care provider with primary practice located at 1169 Southwind Dr , Junction City KS 66441-2644. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gooch, Mary K can be contacted via phone (785) 350-4670.Contact Information
Primary practice address
1169 Southwind Dr
Junction City KS 66441-2644
Phone: (785) 350-4670
Fax: (785) 350-4688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-28298 | Kansas |
Profile Details
| NPI number | 1003899881 |
|---|---|
| LBN Legal business name | Gooch, Mary K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Aug 30th, 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 | 1003899881 | NPPES |
| Kansas | MEDICAID | 100370220E |
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