Godfrey, Gerald William

Godfrey, Gerald William is an individual health care provider with primary practice located at 8111 S Emerson Ave , Indianapolis IN 46237-8601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Godfrey, Gerald William can be contacted via phone (131) 752-8814.

Contact Information

Primary practice address
8111 S Emerson Ave Indianapolis IN 46237-8601
Phone: (131) 752-8814
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01047239A Indiana

Profile Details

NPI number 1013987874
LBN Legal business name Godfrey, Gerald William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 1st, 2021 - about 3 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 1013987874 NPPES
Indiana MEDICAID 200208440

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