Goff, Jill Anne

Goff, Jill Anne is an individual health care provider with primary practice located at 20 W Wenger Rd , Englewood OH 45322-2722. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Goff, Jill Anne can be contacted via phone (937) 771-5100.

Contact Information

Primary practice address
20 W Wenger Rd Englewood OH 45322-2722
Phone: (937) 771-5100
Fax: (937) 832-3014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 01698-NP Ohio

Profile Details

NPI number 1811993587
LBN Legal business name Goff, Jill Anne
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Apr 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811993587 NPPES
Ohio MEDICAID 2479250

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