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:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 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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