Edwards, Jennifer Goode

Edwards, Jennifer Goode is an individual health care provider with primary practice located at 9409 Hull Street Rd , Richmond VA 23236-1200. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Edwards, Jennifer Goode can be contacted via phone (804) 745-3011.

Contact Information

Primary practice address
9409 Hull Street Rd Richmond VA 23236-1200
Phone: (804) 745-3011
Fax: (804) 745-3012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103300803 Virginia

Profile Details

NPI number 1619990652
LBN Legal business name Edwards, Jennifer Goode
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619990652 NPPES
Virginia MEDICAID 9303502

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