Goddard, Amanda

Goddard, Amanda is an sole proprietor health care provider with primary practice located at 887 Congress St Ste 100 , Portland ME 04102-3100. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Goddard, Amanda can be contacted via phone (207) 662-5522.

Contact Information

Primary practice address
887 Congress St Ste 100 Portland ME 04102-3100
Phone: (207) 662-5522
Fax: (207) 662-5524
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 60019802 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 247365 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X MD22632 Maine

Profile Details

NPI number 1699959163
LBN Legal business name Goddard, Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2007
Last updated Jan 9th, 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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