Goodbread, Michele L.
Goodbread, Michele L. is an individual health care provider with primary practice located at 4247 W Ridge Rd Ste 101 , Erie PA 16506-1746. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Goodbread, Michele L. can be contacted via phone (814) 835-2580.Contact Information
Primary practice address
4247 W Ridge Rd Ste 101
Erie PA 16506-1746
Phone: (814) 835-2580
Fax: (814) 835-2590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA053005 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1774 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | OA006782 | Pennsylvania |
Profile Details
| NPI number | 1073796108 |
|---|---|
| LBN Legal business name | Goodbread, Michele L. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2007 |
| Last updated | May 16th, 2024 - about 2 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 | 1073796108 | NPPES |
| Tennessee | MEDICAID | 1516442 |
Popular Providers
-
Davidson, Shana Ann
240 W 11Th St 2Nd Floor, Erie PA 16501-1702 -
Eakin, Marc
1330 W 26Th St , Erie PA 16508-1402 -
Jodon, Holly Kay
240 W 11Th St 2Nd Floor, Erie PA 16501-1702 -
Zhang, Yimin
311 W 24Th St Suite 401, Erie PA 16502-2665 -
Turner, Christine Louise
145 W 23Rd St Suite 202, Erie PA 16502-2858 -
Tran, Thy Kim
232 W 25Th St , Erie PA 16544-0002 -
Gibbons, Richard
232 W 25Th St , Erie PA 16544-0002 -
Allgeier, Birgitta
120 E 2Nd St Fl 2 2Nd Floor, Erie PA 16507-1579