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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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