Goulding, Michael G

Goulding, Michael G is an sole proprietor health care provider with primary practice located at 12 Revere St , Portland ME 04103-4410. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goulding, Michael G can be contacted via phone (207) 775-6782.

Contact Information

Primary practice address
12 Revere St Portland ME 04103-4410
Phone: (207) 775-6782
Fax: (207) 775-3750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CR669 Maine

Profile Details

NPI number 1164433553
LBN Legal business name Goulding, Michael G
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Oct 14th, 2011 - about 13 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 1164433553 NPPES
Maine Other 000822 ANTHEM
Maine Other 354401000 ANTHEM
Maine Other 5611164 ANTHEM
Maine Other 350018055 ANTHEM
Maine Other 1025479 ANTHEM
Maine Other 0005433260 ANTHEM
Maine MEDICAID 118550099 ANTHEM
Maine Other V06225 ANTHEM

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