Godshall, Duane K

Godshall, Duane K is an individual health care provider with primary practice located at 255 W Lancaster Ave , Paoli PA 19301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Godshall, Duane K can be contacted via phone (610) 648-1043.

Contact Information

Primary practice address
255 W Lancaster Ave Paoli PA 19301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD073406L Pennsylvania

Profile Details

NPI number 1134192586
LBN Legal business name Godshall, Duane K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1134192586 NPPES
Pennsylvania MEDICAID 0018816330001

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