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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982658886 NPPES
Texas Other L3661 TEXAS LICENSE

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