Goucher, Justin

Goucher, Justin is an sole proprietor health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Goucher, Justin can be contacted via phone (479) 443-4301.

Contact Information

Primary practice address
1100 N College Ave Fayetteville AR 72703-1944
Phone: (479) 443-4301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 216579 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 216579 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 216579 Arkansas

Profile Details

NPI number 1881356368
LBN Legal business name Goucher, Justin
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2021
Last updated Apr 27th, 2022 - about 2 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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