Goodnough, Taylor K
Goodnough, Taylor K is an individual health care provider with primary practice located at 5306 Nc Highway 55 Ste 105 , Durham NC 27713-7812. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Goodnough, Taylor K can be contacted via phone (919) 646-4858.Contact Information
Primary practice address
5306 Nc Highway 55 Ste 105
Durham NC 27713-7812
Phone: (919) 646-4858
Fax: (919) 679-7112
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 01879 | North Carolina |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | OS013113 | Pennsylvania |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 01879 | North Carolina |
Profile Details
NPI number | 1598745325 |
---|---|
LBN Legal business name | Goodnough, Taylor K |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2006 |
Last updated | Sep 9th, 2021 - about 3 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 | 1598745325 | NPPES |
North Carolina | MEDICAID | 1598745325 |
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