Goddard, Kirk Jude Douglas

Goddard, Kirk Jude Douglas is an sole proprietor health care provider with primary practice located at 28303 Joy Rd , Westland MI 48185-5524. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goddard, Kirk Jude Douglas can be contacted via phone (734) 513-1122.

Contact Information

Primary practice address
28303 Joy Rd Westland MI 48185-5524
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301007324 Michigan

Profile Details

NPI number 1871750232
LBN Legal business name Goddard, Kirk Jude Douglas
Credentials M.A., L.L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 16 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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