Gough, John E

Gough, John E is an individual health care provider with primary practice located at 2100 Stantonsburg Rd , Greenville NC 27834-2818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gough, John E can be contacted via phone (252) 744-4757.

Contact Information

Primary practice address
2100 Stantonsburg Rd Greenville NC 27834-2818
Phone: (252) 744-4757
Fax: (252) 744-4125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35651 North Carolina

Profile Details

NPI number 1386636942
LBN Legal business name Gough, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Dec 29th, 2023 - about last year

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 1386636942 NPPES
North Carolina Other 36490 BCBS NC
North Carolina Other 930046758 BCBS NC
North Carolina MEDICAID 8936490 BCBS NC

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