Goodly, Brandon Lee

Goodly, Brandon Lee is an individual health care provider with primary practice located at 751 Bayou Pines East Dr Ste C , Lake Charles LA 70601-7196. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Goodly, Brandon Lee can be contacted via phone (337) 433-3292.

Contact Information

Primary practice address
751 Bayou Pines East Dr Ste C Lake Charles LA 70601-7196
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1104448612
LBN Legal business name Goodly, Brandon Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2020
Last updated May 7th, 2020 - about 5 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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