Gooding, Jimmy R

Gooding, Jimmy R is an sole proprietor health care provider with primary practice located at 2211 Oneida Ave , Dayton OH 45414-5629. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Gooding, Jimmy R can be contacted via phone (937) 275-6364.

Contact Information

Primary practice address
2211 Oneida Ave Dayton OH 45414-5629
Phone: (937) 275-6364
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 551 Ohio

Profile Details

NPI number 1952518623
LBN Legal business name Gooding, Jimmy R
Credentials BOARD CERTIFIED HEAR
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jun 27th, 2011 - about 14 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 1952518623 NPPES
Ohio Other 551 STATE LICENSE NUMBER
Ohio MEDICAID 0451265 STATE LICENSE NUMBER

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