Godfrey, Joaquim L.

Godfrey, Joaquim L. is an sole proprietor health care provider with primary practice located at 4036 Cambridge Dr , Country Club Hills IL 60478-7001. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Godfrey, Joaquim L. can be contacted via phone (708) 799-6064.

Contact Information

Primary practice address
4036 Cambridge Dr Country Club Hills IL 60478-7001
Phone: (708) 799-6064
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1790295178
LBN Legal business name Godfrey, Joaquim L.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2017
Last updated Oct 11th, 2017 - about 7 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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