Goodman, Bethany Sellers
Goodman, Bethany Sellers is an individual health care provider with primary practice located at 1350 Whitaker Ridge Dr , Winston Salem NC 27106. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Goodman, Bethany Sellers can be contacted via phone (336) 718-8000.Contact Information
Primary practice address
1350 Whitaker Ridge Dr
Winston Salem NC 27106
Phone: (336) 718-8000
Fax: (336) 718-8011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 216598 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 5005377 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5005377 | North Carolina |
Profile Details
| NPI number | 1972886273 |
|---|---|
| LBN Legal business name | Goodman, Bethany Sellers |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2011 |
| Last updated | Jun 21st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972886273 | NPPES |
| North Carolina | MEDICAID | 7005808 |
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