Goodman, Sandra Kay

Goodman, Sandra Kay is an individual health care provider with primary practice located at 640 Flormann St , Rapid City SD 57701-4679. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Goodman, Sandra Kay can be contacted via phone (605) 342-7400.

Contact Information

Primary practice address
640 Flormann St Rapid City SD 57701-4679
Phone: (605) 342-7400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN074389 APO3126 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R859135 Mississippi
Other Service Providers / Midwife 176B00000X 000041 South Dakota

Profile Details

NPI number 1053309740
LBN Legal business name Goodman, Sandra Kay
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Apr 16th, 2013 - about 12 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 1053309740 NPPES
Mississippi MEDICAID 0120312

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