Goodman, Greggory

Goodman, Greggory is an individual health care provider with primary practice located at 508 14Th Avenue Ct , Hampton IL 61256-9603. He recently has only one registered license in Other Service Providers / Clinical Ethicist, which is considered as his primary health care specialty. Goodman, Greggory can be contacted via phone (309) 373-4151.

Contact Information

Primary practice address
508 14Th Avenue Ct Hampton IL 61256-9603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Clinical Ethicist 174V00000X 160.007718 Illinois

Profile Details

NPI number 1053853796
LBN Legal business name Goodman, Greggory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2016
Last updated Nov 11th, 2016 - about 9 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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