Goodman, David Wayne
Goodman, David Wayne is an sole proprietor health care provider with primary practice located at 2639 Sunset Avenue Suite B, Rocky Mount NC 27804-3700. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Goodman, David Wayne can be contacted via phone (252) 937-4455.Contact Information
Primary practice address
2639 Sunset Avenue Suite B
Rocky Mount NC 27804-3700
Phone: (252) 937-4455
Fax: (252) 937-3060
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 0852 | North Carolina |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 072002957 | Illinois |
Profile Details
NPI number | 1982639803 |
---|---|
LBN Legal business name | Goodman, David Wayne |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 11th, 2006 |
Last updated | Aug 27th, 2012 - about 12 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 | 1982639803 | NPPES |
North Carolina | Other | 03624 | BCBSNC |
North Carolina | MEDICAID | 6000021 | BCBSNC |
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