Goodpaster, Teresa Dudek
Goodpaster, Teresa Dudek is an individual health care provider with primary practice located at 3051 6Th Street , Marianna FL 32446-1933. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Goodpaster, Teresa Dudek can be contacted via phone (850) 482-0017.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35-06-3092-D | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME98349 | Florida |
Profile Details
| NPI number | 1801882428 |
|---|---|
| LBN Legal business name | Goodpaster, Teresa Dudek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jan 22nd, 2010 - about 15 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 | 1801882428 | NPPES |
| Florida | MEDICAID | 279095500 |
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