Gouldin, Judith Ann
Gouldin, Judith Ann is an individual health care provider with primary practice located at 777 Rural Ave , Williamsport PA 17701-3109. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Nuclear Medicine is her primary health care specialty. Gouldin, Judith Ann can be contacted via phone (570) 321-2400.Contact Information
Primary practice address
777 Rural Ave
Williamsport PA 17701-3109
Phone: (570) 321-2400
Fax: (570) 321-2496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | MD019724E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | MD019724E | Pennsylvania |
Profile Details
| NPI number | 1356318356 |
|---|---|
| LBN Legal business name | Gouldin, Judith Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Nov 30th, 2007 - about 18 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 | 1356318356 | NPPES |
| Pennsylvania | MEDICAID | 0007802700001 | |
| Pennsylvania | Other | 073898 | |
| Pennsylvania | Other | 816713 | |
| Pennsylvania | Other | 561809 | |
| Pennsylvania | Other | 4501 | |
| Pennsylvania | Other | 1553604 | |
| Pennsylvania | Other | 078201 |
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