Goddard, Jesse

Goddard, Jesse is an sole proprietor health care provider with primary practice located at 300 Pine Grove Cmns , York PA 17403-5176. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Goddard, Jesse can be contacted via phone (717) 851-6110.

Contact Information

Primary practice address
300 Pine Grove Cmns York PA 17403-5176
Phone: (717) 851-6110
Fax: (717) 741-1076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD459118 Pennsylvania
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 46080 Kentucky
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD459118 Pennsylvania

Profile Details

NPI number 1093917221
LBN Legal business name Goddard, Jesse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Jul 21st, 2022 - about 2 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 1093917221 NPPES
Pennsylvania MEDICAID 103179835
Pennsylvania Other PO1804579

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