Goddard, Andrew William

Goddard, Andrew William is an individual health care provider with primary practice located at 2210 E Illinois Ave Ste 401 , Fresno CA 93701-2184. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Goddard, Andrew William can be contacted via phone (559) 320-0580.

Contact Information

Primary practice address
2210 E Illinois Ave Ste 401 Fresno CA 93701-2184
Phone: (559) 320-0580
Fax: (559) 320-0582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X C132659 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C132659 California

Profile Details

NPI number 1346294725
LBN Legal business name Goddard, Andrew William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 9th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346294725 NPPES
Indiana MEDICAID 200355710

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