Gouda, Jan Jack

Gouda, Jan Jack is an sole proprietor health care provider with primary practice located at 1 Elizabeth Pl Suite # D, Dayton OH 45417-3445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Gouda, Jan Jack can be contacted via phone (937) 424-2520.

Contact Information

Primary practice address
1 Elizabeth Pl Suite # D Dayton OH 45417-3445
Phone: (937) 424-2520
Fax: (937) 222-9665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 35-072594 Ohio

Profile Details

NPI number 1427163906
LBN Legal business name Gouda, Jan Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jun 27th, 2012 - about 12 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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