Goodman, Casey Lee

Goodman, Casey Lee is an individual health care provider with primary practice located at 255 Fry St , China Grove NC 28023-6502. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Goodman, Casey Lee can be contacted via phone (704) 490-6885.

Contact Information

Primary practice address
255 Fry St China Grove NC 28023-6502
Phone: (704) 490-6885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X 22874783 North Carolina

Profile Details

NPI number 1588916233
LBN Legal business name Goodman, Casey Lee
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2012
Last updated Nov 16th, 2022 - about 2 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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