Goddard, Robert C
Goddard, Robert C is an sole proprietor health care provider with primary practice located at 66 Prospect St , Manchester NH 03104-3506. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goddard, Robert C can be contacted via phone (603) 629-9851.Contact Information
Primary practice address
66 Prospect St
Manchester NH 03104-3506
Phone: (603) 629-9851
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 334 | New Hampshire |
Profile Details
| NPI number | 1508828237 |
|---|---|
| LBN Legal business name | Goddard, Robert C |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Nov 16th, 2013 - about 12 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 | 1508828237 | NPPES |
| New Hampshire | MEDICAID | 3083226 | |
| New Hampshire | MEDICAID | 80000701 |
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