Gouge, Alan K

Gouge, Alan K is an individual health care provider with primary practice located at 320 Whittington Pkwy Ste 301, Louisville KY 40222-4928. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gouge, Alan K can be contacted via phone (502) 625-5584.

Contact Information

Primary practice address
320 Whittington Pkwy Ste 301 Louisville KY 40222-4928
Phone: (502) 625-5584
Fax: (502) 426-2264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 051675 Tennessee

Profile Details

NPI number 1154321412
LBN Legal business name Gouge, Alan K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Mar 23rd, 2016 - about 8 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 1154321412 NPPES
Tennessee MEDICAID 3631189
Tennessee Other 3158520
Tennessee MEDICAID 74002585

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