Bax, Carly Goodman

Bax, Carly Goodman is an individual health care provider with primary practice located at 1010 N Hancock St , Philadelphia PA 19123-2334. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bax, Carly Goodman can be contacted via phone (267) 978-4305.

Contact Information

Primary practice address
1010 N Hancock St Philadelphia PA 19123-2334
Fax:
Website:

Health care specialties

Profile Details

NPI number 1821662339
LBN Legal business name Bax, Carly Goodman
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2021
Last updated May 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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