Goforth-Parker, Judy

Goforth-Parker, Judy is an individual health care provider with primary practice located at 1921 Stonecipher Dr , Ada OK 74820-3439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Goforth-Parker, Judy can be contacted via phone (580) 436-3980.

Contact Information

Primary practice address
1921 Stonecipher Dr Ada OK 74820-3439
Phone: (580) 436-3980
Fax: (580) 421-6283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 29185 Oklahoma

Profile Details

NPI number 1952604829
LBN Legal business name Goforth-Parker, Judy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2010
Last updated Aug 7th, 2014 - about 10 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 1952604829 NPPES
Oklahoma Other 29185 OKLAHOMA LICENSE

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