Goodman, Desiree M

Goodman, Desiree M is an individual health care provider with primary practice located at Rr 1 Box 67 , Harlem MT 59526-9705. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Nursing Service Providers / Ambulatory Care. Nursing Service Providers / Emergency is her primary health care specialty. Goodman, Desiree M can be contacted via phone (406) 353-3100.

Contact Information

Primary practice address
Rr 1 Box 67 Harlem MT 59526-9705
Phone: (406) 353-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X MT 24075 Montana
Nursing Service Providers / Ambulatory Care 163WP2201X MT 24075 Montana

Profile Details

NPI number 1497961965
LBN Legal business name Goodman, Desiree M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 17 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 1497961965 NPPES
Montana Other MT 24075 LICENSE

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