Doctor Name: | JOHN R GOAN |
NPI Number: | 1417230467 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 45-2829951 |
Business Practice Address: | 48 Mason St Winchendon, MA - 014751531 |
Business Phone Number: | 6175013166 |
Business Fax Number: | 4105288338 |
Mailing Address: | 6710f Ritchie Hwy, Suite # 412 GLEN BURNIE |
State: | MD |
Postal Code: | 210612319 |
Phone Number: | 6175013166 |
Fax Number: | 4105288338 |
NPI Enumeration Date: | 09/26/2011 |
NPI Last Update Date: | 01/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171W00000X |
License Number: | 45-2829951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |