Gould, Andrew Richard

Gould, Andrew Richard is an individual health care provider with primary practice located at 2944 Breckenridge Ln , Louisville KY 40220-1409. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Gould, Andrew Richard can be contacted via phone (502) 893-0159.

Contact Information

Primary practice address
2944 Breckenridge Ln Louisville KY 40220-1409
Phone: (502) 893-0159
Fax: (502) 213-3853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 32102 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01054760A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 32102 Kentucky

Profile Details

NPI number 1275539801
LBN Legal business name Gould, Andrew Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Mar 13th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275539801 NPPES
Other 080161658 MEDICARE RAIL ROAD
MEDICAID 200345040 MEDICARE RAIL ROAD
MEDICAID 64013378 MEDICARE RAIL ROAD

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