Goodall, Heather A

Goodall, Heather A is an individual health care provider with primary practice located at 975 Hopkinsville Rd , Russellville KY 42276-9774. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goodall, Heather A can be contacted via phone (270) 726-9568.

Contact Information

Primary practice address
975 Hopkinsville Rd Russellville KY 42276-9774
Phone: (270) 726-9568
Fax: (270) 726-9570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005661 Kentucky

Profile Details

NPI number 1053557645
LBN Legal business name Goodall, Heather A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2009
Last updated Oct 28th, 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 1053557645 NPPES
Kentucky Other P01000559 RAILROAD MEDICARE
Kentucky MEDICAID 7100099720 RAILROAD MEDICARE
Kentucky Other 000000698117 RAILROAD MEDICARE

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