Gough, Jacob Edward
Gough, Jacob Edward is an individual health care provider with primary practice located at 1330 U St Nw #300, Washington DC 20009-7991. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Gough, Jacob Edward can be contacted via phone (202) 888-5595.Contact Information
Primary practice address
1330 U St Nw #300
Washington DC 20009-7991
Phone: (202) 888-5595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT1418 | District of Columbia |
Profile Details
| NPI number | 1073067765 |
|---|---|
| LBN Legal business name | Gough, Jacob Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2016 |
| Last updated | Aug 10th, 2016 - about 9 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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