Goddard, Robert L
Goddard, Robert L is an individual health care provider with primary practice located at 817 W Rosewood Dr , Bloomington IN 47404-1849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Goddard, Robert L can be contacted via phone (812) 929-2952.Contact Information
Primary practice address
817 W Rosewood Dr
Bloomington IN 47404-1849
Phone: (812) 929-2952
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 01062280A | Indiana |
Profile Details
NPI number | 1982658886 |
---|---|
LBN Legal business name | Goddard, Robert L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 22nd, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1982658886 | NPPES |
Texas | Other | L3661 | TEXAS LICENSE |
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