Goodmanson, William L

Goodmanson, William L is an individual health care provider with primary practice located at 1406 6Th Ave N , Saint Cloud MN 56303-1900. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Goodmanson, William L can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1406 6Th Ave N Saint Cloud MN 56303-1900
Phone: (320) 251-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R-090336-9 Minnesota

Profile Details

NPI number 1679554851
LBN Legal business name Goodmanson, William L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 17th, 2008 - about 16 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 1679554851 NPPES
Minnesota MEDICAID 087542200

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