Goulart, John W

Goulart, John W is an individual health care provider with primary practice located at 620 S Madison St Suite 108, Enid OK 73701-7270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goulart, John W can be contacted via phone (580) 234-2289.

Contact Information

Primary practice address
620 S Madison St Suite 108 Enid OK 73701-7270
Phone: (580) 234-2289
Fax: (580) 249-4350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4191 Oklahoma

Profile Details

NPI number 1417957085
LBN Legal business name Goulart, John W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Feb 9th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417957085 NPPES
Oklahoma MEDICAID 200032320A
Oklahoma Other P00155199
Oklahoma Other 200032320B

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