Individual
DENNIS GOOCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-3226
(219) 898-7998
Mailing address
707 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-3226
(219) 898-7998
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
34390000X
IN
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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