Gott, C Fred

Gott, C Fred is an individual health care provider with primary practice located at 191 W Professional Park Ct , Bowling Green KY 42104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gott, C Fred can be contacted via phone (270) 782-7464.

Contact Information

Primary practice address
191 W Professional Park Ct Bowling Green KY 42104
Fax: (270) 782-8025
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20987 Kentucky

Profile Details

NPI number 1639177645
LBN Legal business name Gott, C Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jun 13th, 2008 - about 16 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 1639177645 NPPES
Kentucky Other 000000048588 BLUE CROSS BLUE SHIELD
Kentucky Other 611077855 BLUE CROSS BLUE SHIELD
Kentucky MEDICAID 64209877 BLUE CROSS BLUE SHIELD

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