Good, Julian

Good, Julian is an individual health care provider with primary practice located at 510 W 29Th St , Cheyenne WY 82001-2760. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Good, Julian can be contacted via phone (330) 763-2936.

Contact Information

Primary practice address
510 W 29Th St Cheyenne WY 82001-2760
Phone: (330) 763-2936
Fax: (307) 637-6852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19109.0857 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 19109.0857 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 19109.0857 Wyoming

Profile Details

NPI number 1023099637
LBN Legal business name Good, Julian
Credentials FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Nov 9th, 2016 - about 9 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 1023099637 NPPES
Wyoming MEDICAID 123919800

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