Goodman, Cheryl

Goodman, Cheryl is an individual health care provider with primary practice located at 3300 Gallows Rd Physician Billing, Falls Church VA 22042-3307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Goodman, Cheryl can be contacted via phone (703) 776-2545.

Contact Information

Primary practice address
3300 Gallows Rd Physician Billing Falls Church VA 22042-3307
Phone: (703) 776-2545
Fax: (703) 776-2917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001608 Virginia

Profile Details

NPI number 1588868509
LBN Legal business name Goodman, Cheryl
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated May 21st, 2009 - about 15 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 1588868509 NPPES
Virginia MEDICAID 010265304

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