MRS. JULIE DIANE GOUGH D.T. NPI 1518170554

NPI Information

NPI: 1518170554
Provider Name: MRS. JULIE DIANE GOUGH, D.T.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
915 S IOWA ST
ASHMORE, IL
ZIP 61912
Phone: (217) 232-8695
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MRS. Julie Diane Gough, D.T. is a specialist in Ashmore, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MRS. Julie Diane Gough, D.T. NPI is 1518170554. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

915 S IOWA ST
ASHMORE, IL
ZIP 61912-543
Phone: (217) 232-8695
Fax: (217) 349-8431

The enumeration date for this NPI number is 5/7/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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