Provider Demographics
NPI:1710357496
Name:M P GOUIN CO INC
Entity Type:Organization
Organization Name:M P GOUIN CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-380-6275
Mailing Address - Street 1:500 GUILFORD ST
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6394
Mailing Address - Country:US
Mailing Address - Phone:802-380-6275
Mailing Address - Fax:
Practice Address - Street 1:500 GUILFORD ST
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6394
Practice Address - Country:US
Practice Address - Phone:802-380-6275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies