Gothard, Carolyn K
Gothard, Carolyn K is an individual health care provider with primary practice located at 735 Wilson St , Brewer ME 04412. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gothard, Carolyn K can be contacted via phone (207) 945-5247.Contact Information
Primary practice address
735 Wilson St
Brewer ME 04412
Phone: (207) 945-5247
Fax: (207) 990-1248
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP081480 | Maine |
Nursing Service Providers / Registered Nurse | 163W00000X | RO35933 | Maine |
Profile Details
NPI number | 1437155884 |
---|---|
LBN Legal business name | Gothard, Carolyn K |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2005 |
Last updated | Jul 8th, 2010 - about 15 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 | 1437155884 | NPPES |
Maine | MEDICAID | 256450099 |
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