Gotchall, John Ivan
Gotchall, John Ivan is an individual health care provider with primary practice located at 3600 Nw Samaritan Dr , Corvallis OR 97330-3737. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Gotchall, John Ivan can be contacted via phone (541) 768-5111.Contact Information
Primary practice address
3600 Nw Samaritan Dr
Corvallis OR 97330-3737
Phone: (541) 768-5111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD18172 | Oregon |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD18172 | Oregon |
Profile Details
| NPI number | 1568411445 |
|---|---|
| LBN Legal business name | Gotchall, John Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Nov 5th, 2020 - 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 | 1568411445 | NPPES |
| Oregon | MEDICAID | 056601 |
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