Gooch, Michelle Esther Wright

Gooch, Michelle Esther Wright is an individual health care provider with primary practice located at 1301 Mccallie Ave Ste 200 , Chattanooga TN 37404-2934. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Gooch, Michelle Esther Wright can be contacted via phone (423) 710-3864.

Contact Information

Primary practice address
1301 Mccallie Ave Ste 200 Chattanooga TN 37404-2934
Phone: (423) 710-3864
Fax: (423) 710-3865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 13168 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN212025 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00120500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13168 Tennessee

Profile Details

NPI number 1528123114
LBN Legal business name Gooch, Michelle Esther Wright
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 12th, 2022 - about 3 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 1528123114 NPPES
Tennessee Other 33416621 MEDICARE PTAN
Tennessee Other 3341662 MEDICARE PTAN
Tennessee Other 3370172 MEDICARE PTAN
Tennessee Other 3726561 MEDICARE PTAN

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