Goodman, Vicki L

Goodman, Vicki L is an individual health care provider with primary practice located at 3727 W Wisconsin Ave , Milwaukee WI 53208-3182. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Goodman, Vicki L can be contacted via phone (414) 291-2626.

Contact Information

Primary practice address
3727 W Wisconsin Ave Milwaukee WI 53208-3182
Fax: (414) 431-0050
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 148838-32 Wisconsin

Profile Details

NPI number 1508197815
LBN Legal business name Goodman, Vicki L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2010
Last updated Aug 29th, 2012 - about 13 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 1508197815 NPPES
Wisconsin MEDICAID 1508197815

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