Goodman, James Frederick
Goodman, James Frederick is an sole proprietor health care provider with primary practice located at 1014 Walla Walla Ave , Wenatchee WA 98801-1523. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Goodman, James Frederick can be contacted via phone (509) 663-0034.Contact Information
Primary practice address
1014 Walla Walla Ave
Wenatchee WA 98801-1523
Phone: (509) 663-0034
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 60550973 | Washington |
Profile Details
| NPI number | 1174036487 |
|---|---|
| LBN Legal business name | Goodman, James Frederick |
| Credentials | CPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2017 |
| Last updated | Nov 8th, 2017 - about 7 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 | 1174036487 | NPPES |
| Washington | MEDICAID | 60550973 |
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