Goodbred, Rachelle Nicole

Goodbred, Rachelle Nicole is an individual health care provider with primary practice located at 901 Enterprise Pkwy Ste 300 , Hampton VA 23666-6249. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Goodbred, Rachelle Nicole can be contacted via phone (757) 825-2500.

Contact Information

Primary practice address
901 Enterprise Pkwy Ste 300 Hampton VA 23666-6249
Phone: (757) 825-2500
Fax: (757) 825-2521
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 4071 South Carolina

Profile Details

NPI number 1780104349
LBN Legal business name Goodbred, Rachelle Nicole
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2017
Last updated Apr 9th, 2020 - about 4 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 1780104349 NPPES
South Carolina Other 4071 STATE LICENSE

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