Goodall, Shanin Lynn

Goodall, Shanin Lynn is an individual health care provider with primary practice located at 4626 26Th St W , Bradenton FL 34207. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Goodall, Shanin Lynn can be contacted via phone (941) 755-5535.

Contact Information

Primary practice address
4626 26Th St W Bradenton FL 34207
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1313 Florida

Profile Details

NPI number 1225070659
LBN Legal business name Goodall, Shanin Lynn
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jun 26th, 2019 - about 5 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 1225070659 NPPES
Florida Other 4899680 GHI
Florida MEDICAID 600454700 GHI

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