Goddard, Cheryl

Goddard, Cheryl is an individual health care provider with primary practice located at 9109 Liberty Rd , Randallstown MD 21133-3521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goddard, Cheryl can be contacted via phone (410) 655-7373.

Contact Information

Primary practice address
9109 Liberty Rd Randallstown MD 21133-3521
Phone: (410) 655-7373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R087591 Maryland

Profile Details

NPI number 1942278510
LBN Legal business name Goddard, Cheryl
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 19 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 1942278510 NPPES
Maryland Other 64769601 CAREFIRST BC OF MD IND #
Maryland Other 0119 CAREFIRST BC OF MD IND #

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