Goff, Frances R.
Goff, Frances R. is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 110 , Fort Wayne IN 46845-1730. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Goff, Frances R. can be contacted via phone (260) 460-3100.Contact Information
Primary practice address
11104 Parkview Circle Dr Ste 110
Fort Wayne IN 46845-1730
Phone: (260) 460-3100
Fax: (260) 460-3130
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040766A | Indiana |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 20040766A | Indiana |
Profile Details
NPI number | 1780681254 |
---|---|
LBN Legal business name | Goff, Frances R. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2005 |
Last updated | Feb 21st, 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 | 1780681254 | NPPES |
Indiana | Other | 680012060 | RR MEDICARE |
Indiana | MEDICAID | 200263250 | RR MEDICARE |
Indiana | MEDICAID | 2169317 | RR MEDICARE |
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