Goodfellow, Jeffrey

Goodfellow, Jeffrey is an individual health care provider with primary practice located at 480 Galletti Way , Sparks NV 89431-5564. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Goodfellow, Jeffrey can be contacted via phone (775) 688-2001.

Contact Information

Primary practice address
480 Galletti Way Sparks NV 89431-5564
Phone: (775) 688-2001
Fax: (775) 688-2004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN33445 Nevada

Profile Details

NPI number 1972980985
LBN Legal business name Goodfellow, Jeffrey
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2015
Last updated Apr 28th, 2015 - about 9 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 1972980985 NPPES
Nevada Other RN33445 RN LICENSE NUMBER

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