Active NPIIndividual provider

John R Goan

Contractor in Winchendon, Massachusetts

NPI Number1417230467
Practice location
48 Mason St, Winchendon, MA 01475-1531
Fax
410-528-8338
Last updated
January 10, 2012

John R Goan is a Contractor based in Winchendon, MA. John R Goan practices in Winchendon, MA. The NPI Number for John R Goan is 1417230467 and holds a License No. 45-2829951 (MA). The current practice location address for John R Goan is 48 Mason St, Winchendon, MA 01475-1531 and can be reached out via phone at 617-501-3166 and via fax at 410-528-8338.

Provider Profile Details

NPI Number
1417230467
Provider Name
John R Goan
Provider Entity Type
Individual
Gender
Male
Address
48 Mason St, Winchendon, MA 01475-1531
Phone Number
617-501-3166
Fax Number
410-528-8338
Primary Taxonomy
Contractor · 171W00000X
Sole Proprietor
No
Provider Enumeration Date
September 26, 2011
Last Update Date
January 10, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 Mason St
Winchendon, MA 01475-1531
Zip
01475-1531
Phone Number
617-501-3166
Fax Number
410-528-8338
Winchendon, MA 01475Get directions →

Provider Business Mailing Address Details

Address
6710F Ritchie Hwy
Suite # 412
Glen Burnie, MD 21061-2319
City
Glen Burnie
State
MD
Zip
21061-2319
Phone Number
617-501-3166
Fax Number
410-528-8338

License Information

License Number
45-2829951
License State
MA
Taxonomy
Contractor · 171W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John R Goan?

The NPI number of John R Goan is 1417230467. It was assigned on September 26, 2011 and is currently active in the NPPES registry.

What is the specialty of John R Goan?

John R Goan is registered under the primary taxonomy Contractor (code 171W00000X), licensed in MA under license number 45-2829951.

Where does John R Goan practice?

The practice location is 48 Mason St, Winchendon, MA 01475-1531. The office can be reached at 617-501-3166 (phone) or 410-528-8338 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417230467 directly on the NPPES registry website.

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