Goforth, Michael Wayne
Goforth, Michael Wayne is an individual health care provider with primary practice located at Virginia Tech Sports Medicine, 113 Merryman Center , Blacksburg VA 24061-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Goforth, Michael Wayne can be contacted via phone (540) 231-7742.Contact Information
Primary practice address
Virginia Tech Sports Medicine, 113 Merryman Center
Blacksburg VA 24061-0001
Phone: (540) 231-7742
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0126000314 | Virginia |
Profile Details
| NPI number | 1679539324 |
|---|---|
| LBN Legal business name | Goforth, Michael Wayne |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jul 21st, 2022 - 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.
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