Gough, Adam C

Gough, Adam C is an individual health care provider with primary practice located at 1600 E 32Nd St , Silver City NM 88061-7287. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Gough, Adam C can be contacted via phone (575) 538-2981.

Contact Information

Primary practice address
1600 E 32Nd St Silver City NM 88061-7287
Phone: (575) 538-2981
Fax: (575) 388-3373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 275 New Mexico

Profile Details

NPI number 1851355804
LBN Legal business name Gough, Adam C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jan 10th, 2013 - about 11 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 1851355804 NPPES
New Mexico MEDICAID G0018

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