Gould, Debra A

Gould, Debra A is an individual health care provider with primary practice located at 504 N 40Th Ave , Yakima WA 98908-4311. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gould, Debra A can be contacted via phone (509) 966-9480.

Contact Information

Primary practice address
504 N 40Th Ave Yakima WA 98908-4311
Fax: (509) 225-2702
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00027853 Washington

Profile Details

NPI number 1740289883
LBN Legal business name Gould, Debra A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 20th, 2024 - about 9 months 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 1740289883 NPPES
Washington MEDICAID 8140154
Washington Other 8939873
Washington Other 0107394
Washington Other P00059088

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