Goodall, Sheryl P

Goodall, Sheryl P is an individual health care provider with primary practice located at 830 Oak St Suite 105W, Brockton MA 02301-1168. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Goodall, Sheryl P can be contacted via phone (508) 427-3668.

Contact Information

Primary practice address
830 Oak St Suite 105W Brockton MA 02301-1168
Phone: (508) 427-3668
Fax: (508) 427-2610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 170600 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 170600 Massachusetts

Profile Details

NPI number 1518948629
LBN Legal business name Goodall, Sheryl P
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated May 7th, 2008 - about 16 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 1518948629 NPPES
Massachusetts Other 616882 TUFTS
Massachusetts MEDICAID 0355241 TUFTS
Massachusetts Other 28308 TUFTS
Massachusetts Other PN0849 TUFTS

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