Gould, Philip R
Gould, Philip R is an individual health care provider with primary practice located at 439 Us Highway 158 W , Yanceyville NC 27379-8304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gould, Philip R can be contacted via phone (336) 694-9331.Contact Information
Primary practice address
439 Us Highway 158 W
Yanceyville NC 27379-8304
Phone: (336) 694-9331
Fax: (336) 694-4209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME 17023 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME17023 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 2013-00445 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2013-00445 | North Carolina |
Profile Details
| NPI number | 1821030792 |
|---|---|
| LBN Legal business name | Gould, Philip R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821030792 | NPPES |
| North Carolina | Other | 19BMR | BCBSNC |
| North Carolina | MEDICAID | 1821030792 | BCBSNC |
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