Goodhue, Angelique D.

Goodhue, Angelique D. is an individual health care provider with primary practice located at 7434 S State St South Valley Mental Health, Midvale UT 84047-2014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Goodhue, Angelique D. can be contacted via phone (801) 566-4432.

Contact Information

Primary practice address
7434 S State St South Valley Mental Health Midvale UT 84047-2014
Phone: (801) 566-4432
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 963253611205 Utah

Profile Details

NPI number 1609852854
LBN Legal business name Goodhue, Angelique D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jan 10th, 2022 - about 3 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 1609852854 NPPES
Utah Other 107007839101 INTERMOUNTAIN HEALTHCARE
Utah Other 942938348G02 INTERMOUNTAIN HEALTHCARE
Utah Other 662594 INTERMOUNTAIN HEALTHCARE
Utah Other 942938348 INTERMOUNTAIN HEALTHCARE

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