Bradley Carlyle Goben in Charleston - Professional
Bradley Carlyle Goben - NPI 1073645578
Bradley Carlyle Goben is a Professional in Charleston, Illinois. Bradley Carlyle Goben practices all healthcare services and medical treatments related to Professional. The NPI Number for Bradley Carlyle Goben is 1073645578. The last update date is 2007-07-08.
Bradley Carlyle Goben's current location address is 1004 10th St, Charleston, Illinois. You can contact this provider via phone number 2173481354. The mailing address for Bradley Carlyle Goben is 1004 10th St, Charleston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Carlyle Goben |
|---|---|
| Address | 1004 10th St, Charleston, Illinois |
| Phone Number | 2173481354 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MA LCPC |
NPI Number Detail
| NPI Number | 1073645578 |
|---|---|
| Provider Enumeration Date | 2007-03-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1004 10th St |
|---|---|
| City | Charleston |
| State | Illinois (IL) |
| Post Code | 619202822 |
| Phone Number | 2173481354 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the unique identifier code issued to Bradley Carlyle Goben by the Centers for Medicare & Medicaid Services?
The Bradley Carlyle Goben has been assigned the NPI (National Provider Identifier) 1073645578. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bradley Carlyle Goben is located?
The Bradley Carlyle Goben is situated at the following address: 1004 10Th St, Charleston, IL, 619202822.
What is Bradley Carlyle Goben's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley Carlyle Goben's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073645578 to Bradley Carlyle Goben?
The Centers for Medicare & Medicaid Services assigned the 1073645578 to Bradley Carlyle Goben on 2007-03-10.
When was the information regarding Bradley Carlyle Goben, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bradley Carlyle Goben, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.