Godard, James L

Godard, James L is an individual health care provider with primary practice located at 1540 E Evergreen St , Springfield MO 65803-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Godard, James L can be contacted via phone (417) 823-2900.

Contact Information

Primary practice address
1540 E Evergreen St Springfield MO 65803-4300
Phone: (417) 823-2900
Fax: (417) 886-2774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R7G85 Missouri

Profile Details

NPI number 1558366724
LBN Legal business name Godard, James L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jan 15th, 2019 - about 6 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 1558366724 NPPES
Missouri MEDICAID 1558366724
Missouri MEDICAID 242411718
Missouri Other 110031981

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