Individual
MR. ERIC C GOSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 852-5689
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
40358
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057678
ANTHEM
KY
05
—
200851100
—
IN
01
—
50010464
PASSPORT
KY
05
—
64112659
—
KY
01
—
P00331617
RAILROAD MEDICARE
KY
Enumeration date
05/23/2006
Last updated
11/30/2020
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