Godfrey, David Michael

Godfrey, David Michael is an individual health care provider with primary practice located at 2212 Mifflin Ave Suite 220, Ashland OH 44805-8848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Godfrey, David Michael can be contacted via phone (419) 207-2663.

Contact Information

Primary practice address
2212 Mifflin Ave Suite 220 Ashland OH 44805-8848
Phone: (419) 207-2663
Fax: (419) 289-4631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35.095862 Ohio

Profile Details

NPI number 1790952604
LBN Legal business name Godfrey, David Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2008
Last updated Feb 18th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790952604 NPPES
Ohio MEDICAID 3082748

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