Godnig, Edward Carl
Godnig, Edward Carl is an sole proprietor health care provider with primary practice located at 285 E Parks Hwy Ste A , Wasilla AK 99654-7039. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Godnig, Edward Carl can be contacted via phone (907) 376-3917.Contact Information
Primary practice address
285 E Parks Hwy Ste A
Wasilla AK 99654-7039
Phone: (907) 376-3917
Fax: (907) 376-3967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 212 | Alaska |
Profile Details
| NPI number | 1730186867 |
|---|---|
| LBN Legal business name | Godnig, Edward Carl |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jul 29th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730186867 | NPPES |
| Alaska | MEDICAID | OD4478 |
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