Goult, Christopher Allen
Goult, Christopher Allen is an individual health care provider with primary practice located at 2295 Towne Lake Pkwy Ste 148, Woodstock GA 30189-5520. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Goult, Christopher Allen can be contacted via phone (770) 926-2744.Contact Information
Primary practice address
2295 Towne Lake Pkwy Ste 148
Woodstock GA 30189-5520
Phone: (770) 926-2744
Fax: (770) 926-2794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05010868A | Indiana |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT011818 | Georgia |
Profile Details
| NPI number | 1578825915 |
|---|---|
| LBN Legal business name | Goult, Christopher Allen |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2012 |
| Last updated | Feb 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578825915 | NPPES |
| Indiana | MEDICAID | 201110310 |
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