Goodale, Holly L
Goodale, Holly L is an individual health care provider with primary practice located at 1353 Dorchester Ave , Dorchester MA 02122-2932. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Goodale, Holly L can be contacted via phone (617) 740-2277.Contact Information
Primary practice address
1353 Dorchester Ave
Dorchester MA 02122-2932
Phone: (617) 740-2277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 77726 | Massachusetts |
Profile Details
| NPI number | 1750340410 |
|---|---|
| LBN Legal business name | Goodale, Holly L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Aug 22nd, 2014 - about 11 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 | 1750340410 | NPPES |
| Massachusetts | MEDICAID | 3143023 |
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