Goree, Jeffrey C

Goree, Jeffrey C is an individual health care provider with primary practice located at 1970 E 53Rd St , Davenport IA 52807-2710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Goree, Jeffrey C can be contacted via phone (563) 359-3949.

Contact Information

Primary practice address
1970 E 53Rd St Davenport IA 52807-2710
Phone: (563) 359-3949
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 31634 Iowa

Profile Details

NPI number 1447210315
LBN Legal business name Goree, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 12th, 2021 - 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 1447210315 NPPES
Iowa Other 4174797 MEDICAID IOWA W/ ORA
Iowa Other K51231 MEDICAID IOWA W/ ORA
Iowa Other 20788 MEDICAID IOWA W/ ORA
Iowa Other 300132304 MEDICAID IOWA W/ ORA
Iowa Other 15855 MEDICAID IOWA W/ ORA
Iowa Other 300110570 MEDICAID IOWA W/ ORA
Iowa MEDICAID 3174797 MEDICAID IOWA W/ ORA
Iowa Other 300125724 MEDICAID IOWA W/ ORA
Iowa Other 20788 MEDICAID IOWA W/ ORA
Iowa Other 44975 MEDICAID IOWA W/ ORA
Iowa MEDICAID 7174797 MEDICAID IOWA W/ ORA

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