Gooden, Kayla Simone
Gooden, Kayla Simone is an sole proprietor health care provider with primary practice located at 7418 Braeridge Way , Sacramento CA 95831-4004. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Gooden, Kayla Simone can be contacted via phone (916) 402-6211.Contact Information
Primary practice address
7418 Braeridge Way
Sacramento CA 95831-4004
Phone: (916) 402-6211
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Driver | 172A00000X |
Profile Details
NPI number | 1437798188 |
---|---|
LBN Legal business name | Gooden, Kayla Simone |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 28th, 2019 |
Last updated | Jan 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437798188 | NPPES |
California | Other | 1437798188 | NEMT |
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