Goddard, Marisa Alana
Goddard, Marisa Alana is an sole proprietor health care provider with primary practice located at 11405 White Forge Ct , Sugar Land TX 77498-0903. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as her primary health care specialty. Goddard, Marisa Alana can be contacted via phone (817) 845-7205.Contact Information
Primary practice address
11405 White Forge Ct
Sugar Land TX 77498-0903
Phone: (817) 845-7205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X | 2033 |
Profile Details
| NPI number | 1275839128 |
|---|---|
| LBN Legal business name | Goddard, Marisa Alana |
| Credentials | CNIM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2011 |
| Last updated | Jun 23rd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275839128 | NPPES |
| Other | 2033 | CNIM |
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