Goman, Kristin Marie

Goman, Kristin Marie is an individual health care provider with primary practice located at 530 E 2Nd St , Duluth MN 55805-1913. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Goman, Kristin Marie can be contacted via phone (218) 786-5360.

Contact Information

Primary practice address
530 E 2Nd St Duluth MN 55805-1913
Phone: (218) 786-5360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7490 Minnesota

Profile Details

NPI number 1295760866
LBN Legal business name Goman, Kristin Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1295760866 NPPES
Wisconsin MEDICAID 42799900
Wisconsin Other 4600628

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