Goulding, Jonna Coxon

Goulding, Jonna Coxon is an individual health care provider with primary practice located at 130 Fisher Rd , Berlin VT 05602-9516. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Goulding, Jonna Coxon can be contacted via phone (802) 225-3994.

Contact Information

Primary practice address
130 Fisher Rd Berlin VT 05602-9516
Phone: (802) 225-3994
Fax: (802) 371-5985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420009355 Vermont
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 042.0009355 Vermont

Profile Details

NPI number 1962415042
LBN Legal business name Goulding, Jonna Coxon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Sep 17th, 2013 - about 12 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 1962415042 NPPES
Vermont MEDICAID OVN1426

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