Goodman, Maggie

Goodman, Maggie is an individual health care provider with primary practice located at 555 E Broadway Ave Ste 216 , Jackson WY 83001-8640. 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, Maggie can be contacted via phone (724) 679-5642.

Contact Information

Primary practice address
555 E Broadway Ave Ste 216 Jackson WY 83001-8640
Phone: (724) 679-5642
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PT951 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA951 Wyoming

Profile Details

NPI number 1568039600
LBN Legal business name Goodman, Maggie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2021
Last updated Nov 9th, 2021 - about 4 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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