DR. MARTIN JOHN GOULOOZE (NPI# 1700915519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700915519 |
| Entity Type | Individual |
| Full Name | DR. MARTIN JOHN GOULOOZE |
| Credential | D.C. |
| Practice Address |
1850 Mcculloch Blvd N Ste C5 Lake Havasu City AZ 86403-5798 |
| Mailing Address |
17016 N Pinion Ln Sun City AZ 85373-1828 |
| Practice Telephone | 9288551220 |
| Practice Fax Number | 9288551221 |
| Mailing Telephone | 6026180444 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3688 | AZ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE | AZ152098 | 01 |
| Street Address |
1850 MCCULLOCH BLVD N STE C5 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184815573 | Craig Alan Davis | Chiropractor | 1850 Mcculloch Blvd N Ste C5, Lake Havasu City, AZ 86403-5798 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881970697 | Craig Allen Coss | Chiropractor | 361 Catclaw Ln, Lake Havasu City, AZ 86403-5006 | 2011-10-25 |
| 1174804587 | William S Orr | Chiropractor | 2110 Mcculloch Blvd N, Suite 3, Lake Havasu City, AZ 86403-6711 | 2011-08-30 |
| 1891940706 | Shelley Ann Bengard | Chiropractor | 60 S. Acoma Blvd, Lake Havasu City, AZ 86403 | 2008-11-19 |
| 1558576785 | Joseph R Majerus Dc | Chiropractor | 2163 Birch Sq, Suite A, Lake Havasu City, AZ 86403-6757 | 2007-05-11 |
| 1043337298 | Richard Joseph Bittner | Chiropractor | 1963 Mcculloch Blvd N, #102, Lake Havasu City, AZ 86403-5700 | 2007-03-23 |
| 1982755203 | Heath R Alvidrez | Chiropractor | 1940 Mesquite Ave Ste A, Lake Havasu City, AZ 86403-5773 | 2007-01-15 |
| 1699841692 | Richard Mckenzie Duncan | Chiropractor | 2176 Mcculloch Blvd Ste 3, Lake Havasu City, AZ 86403-6808 | 2006-11-28 |
| 1649350604 | Huffman Chiropractic, Pllc | Chiropractor | 1695 Mesquite Ave Ste 114, Lake Havasu City, AZ 86403-5647 | 2006-10-16 |
| 1831288331 | Daniel W Talley | Chiropractor | 30 Acoma Blvd S Ste 203, Lake Havasu City, AZ 86403-5920 | 2006-10-12 |
| 1467476952 | Joseph Robert Majerus | Chiropractor | 2163 Birch Sq Ste A, Lake Havasu City, AZ 86403-6757 | 2006-07-27 |
| Find all providers in LAKE HAVASU CITY | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on DR. MARTIN JOHN GOULOOZE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.