Gough, Aimee E
Gough, Aimee E is an individual health care provider with primary practice located at 419 S Washington St Ste 200 , Casper WY 82601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Gough, Aimee E can be contacted via phone (307) 577-4220.Contact Information
Primary practice address
419 S Washington St Ste 200
Casper WY 82601
Phone: (307) 577-4220
Fax: (307) 235-0931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 11604A | Wyoming |
Profile Details
| NPI number | 1902161664 |
|---|---|
| LBN Legal business name | Gough, Aimee E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2012 |
| Last updated | Jan 7th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902161664 | NPPES |
| Wyoming | Other | 11604A | WYOMING MEDICAL LICENSE |
| Wyoming | Other | CS01885 | WYOMING MEDICAL LICENSE |
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