Goodenough, David J
Goodenough, David J is an individual health care provider with primary practice located at 10 Wayman Lane , Trenton ME 04605-5807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Goodenough, David J can be contacted via phone (207) 667-5899.Contact Information
Primary practice address
10 Wayman Lane
Trenton ME 04605-5807
Phone: (207) 667-5899
Fax: (207) 667-0378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 011070 | Maine |
Profile Details
| NPI number | 1881788107 |
|---|---|
| LBN Legal business name | Goodenough, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 26th, 2013 - 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 | 1881788107 | NPPES |
| Maine | MEDICAID | 431745699 | |
| Maine | Other | 011070 |
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