Godshall, Theresa M.
Godshall, Theresa M. is an individual health care provider with primary practice located at 1200 S Cedar Crest Blvd , Allentown PA 18103-6202. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Godshall, Theresa M. can be contacted via phone (610) 402-9099.Contact Information
Primary practice address
1200 S Cedar Crest Blvd
Allentown PA 18103-6202
Phone: (610) 402-9099
Fax: (610) 402-9029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN241001L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 039848 | Pennsylvania |
Profile Details
| NPI number | 1841285608 |
|---|---|
| LBN Legal business name | Godshall, Theresa M. |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Mar 25th, 2013 - about 11 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 | 1841285608 | NPPES |
| Pennsylvania | Other | 1368657 | KHP CENTRAL |
| Pennsylvania | Other | 206043000 | KHP CENTRAL |
| Pennsylvania | MEDICAID | 1027820420001 | KHP CENTRAL |
| Pennsylvania | Other | 11783674 | KHP CENTRAL |
| Pennsylvania | Other | 9417489 | KHP CENTRAL |
| Pennsylvania | Other | 1368657 | KHP CENTRAL |
| Pennsylvania | Other | 1544545 | KHP CENTRAL |
| Pennsylvania | Other | 1368657 | KHP CENTRAL |
| Pennsylvania | Other | 76023 | KHP CENTRAL |
| Pennsylvania | Other | 03222701 | KHP CENTRAL |
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