Goodrich, Alice D
Goodrich, Alice D is an individual health care provider with primary practice located at 21 Carmichael St Suite 101, Essex Junction VT 05452-3186. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Allopathic & Osteopathic Physicians / Sports Medicine. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Goodrich, Alice D can be contacted via phone (941) 928-7536.Contact Information
Primary practice address
21 Carmichael St Suite 101
Essex Junction VT 05452-3186
Phone: (941) 928-7536
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 040-0003688 | Vermont |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | FL20006 | Florida |
Profile Details
| NPI number | 1871705277 |
|---|---|
| LBN Legal business name | Goodrich, Alice D |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2007 |
| Last updated | Jul 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871705277 | NPPES |
| Vermont | MEDICAID | 1017791 |
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