Gough, Bryan Matthew
Gough, Bryan Matthew is an individual health care provider with primary practice located at 2050 Kenny Rd , Columbus OH 43221-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gough, Bryan Matthew can be contacted via phone (614) 293-4969.Contact Information
Primary practice address
2050 Kenny Rd
Columbus OH 43221-3502
Phone: (614) 293-4969
Fax: (614) 293-6111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35126841 | Ohio |
Profile Details
| NPI number | 1962795963 |
|---|---|
| LBN Legal business name | Gough, Bryan Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2011 |
| Last updated | Jan 5th, 2021 - 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 | 1962795963 | NPPES |
| Ohio | MEDICAID | 0181887 |
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