Gould, James Dean

Gould, James Dean is an individual health care provider with primary practice located at 1390 Highway 61 Suite 3100, Festus MO 63028-4137. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gould, James Dean can be contacted via phone (636) 931-7380.

Contact Information

Primary practice address
1390 Highway 61 Suite 3100 Festus MO 63028-4137
Fax: (636) 937-5546
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 103466 Missouri

Profile Details

NPI number 1912908161
LBN Legal business name Gould, James Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 2nd, 2007 - about 19 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 1912908161 NPPES
Other G95138 UPIN

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