Goforth, Cheryl Louise
Goforth, Cheryl Louise is an individual health care provider with primary practice located at 200 New York Ave Ste 160, Oak Ridge TN 37830-5212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goforth, Cheryl Louise can be contacted via phone (865) 835-5138.Contact Information
Primary practice address
200 New York Ave Ste 160
Oak Ridge TN 37830-5212
Phone: (865) 835-5138
Fax: (865) 835-5139
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN0000005366 | Tennessee |
Profile Details
NPI number | 1477653970 |
---|---|
LBN Legal business name | Goforth, Cheryl Louise |
Credentials | APRN, BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 24th, 2006 |
Last updated | Apr 29th, 2021 - 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 | 1477653970 | NPPES |
Tennessee | MEDICAID | 1522208 |
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