Gooding, Frederick Wayne

Gooding, Frederick Wayne is an individual health care provider with primary practice located at 1600 Pennsylvania Ave Ste D, Wilmington DE 19806-4047. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gooding, Frederick Wayne can be contacted via phone (302) 530-1618.

Contact Information

Primary practice address
1600 Pennsylvania Ave Ste D Wilmington DE 19806-4047
Phone: (302) 530-1618
Fax: (302) 652-1023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD18842 District of Columbia

Profile Details

NPI number 1255377180
LBN Legal business name Gooding, Frederick Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jan 9th, 2012 - about 13 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 1255377180 NPPES
District of Columbia MEDICAID 026232900
District of Columbia MEDICAID 1000023477

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