Goulder, Eric A

Goulder, Eric A is an sole proprietor health care provider with primary practice located at 400 Matthew St Ste 302, Marietta OH 45750-1644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Goulder, Eric A can be contacted via phone (740) 568-5207.

Contact Information

Primary practice address
400 Matthew St Ste 302 Marietta OH 45750-1644
Phone: (740) 568-5207
Fax: (740) 568-5297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35041792 Ohio

Profile Details

NPI number 1598760969
LBN Legal business name Goulder, Eric A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Nov 16th, 2017 - about 8 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 1598760969 NPPES
West Virginia MEDICAID 2005592000
West Virginia Other P00457495
West Virginia Other 000000650665
West Virginia MEDICAID 0498288
West Virginia Other P01721803
West Virginia Other 000000696918

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