Goodman, Michelle S
Goodman, Michelle S is an individual health care provider with primary practice located at 21600 Highway 99 Ste 260 , Edmonds WA 98026-8049. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Goodman, Michelle S can be contacted via phone (425) 774-2650.Contact Information
Primary practice address
21600 Highway 99 Ste 260
Edmonds WA 98026-8049
Phone: (425) 774-2650
Fax: (425) 774-2643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30007149 | Washington |
Profile Details
| NPI number | 1093899478 |
|---|---|
| LBN Legal business name | Goodman, Michelle S |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jan 28th, 2014 - about 10 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 | 1093899478 | NPPES |
| Washington | MEDICAID | 1042851 | |
| Washington | Other | 0302994 |
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