Goddard, Jane W

Goddard, Jane W is an individual health care provider with primary practice located at 23 Mansfield Ave , Burlington VT 05401-3323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Goddard, Jane W can be contacted via phone (802) 863-6326.

Contact Information

Primary practice address
23 Mansfield Ave Burlington VT 05401-3323
Phone: (802) 863-6326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 1010010177 Vermont

Profile Details

NPI number 1275589541
LBN Legal business name Goddard, Jane W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 9th, 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 1275589541 NPPES
Vermont MEDICAID 4000026

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