Goodman, Channa Terese
Goodman, Channa Terese is an individual health care provider with primary practice located at 100 E Ferguson St Ste 608 , Tyler TX 75702-5756. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Goodman, Channa Terese can be contacted via phone (903) 705-0070.Contact Information
Primary practice address
100 E Ferguson St Ste 608
Tyler TX 75702-5756
Phone: (903) 705-0070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 896590 | Texas |
Profile Details
| NPI number | 1073281135 |
|---|---|
| LBN Legal business name | Goodman, Channa Terese |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2021 |
| Last updated | Sep 2nd, 2021 - about 4 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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