Goodchild, Mary Jo
Goodchild, Mary Jo is an individual health care provider with primary practice located at 1500 East Medical Center Dr University Hospital, Ann Arbor MI 48109-4256. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Goodchild, Mary Jo can be contacted via phone (734) 936-4000.Contact Information
Primary practice address
1500 East Medical Center Dr University Hospital
Ann Arbor MI 48109-4256
Phone: (734) 936-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 4704161541 | Michigan |
Profile Details
| NPI number | 1801874425 |
|---|---|
| LBN Legal business name | Goodchild, Mary Jo |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Apr 26th, 2012 - about 12 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 | 1801874425 | NPPES |
| Michigan | MEDICAID | 4070578 |
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