Goodrich, Daniel E

Goodrich, Daniel E is an individual health care provider with primary practice located at 18901 Lake Shore Blvd , Euclid OH 44119-1078. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Goodrich, Daniel E can be contacted via phone (216) 531-9000.

Contact Information

Primary practice address
18901 Lake Shore Blvd Euclid OH 44119-1078
Phone: (216) 531-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50-000294 Ohio

Profile Details

NPI number 1538158209
LBN Legal business name Goodrich, Daniel E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated May 22nd, 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 1538158209 NPPES
Ohio Other 000000336117 ANTHEM
Ohio Other P00112190 ANTHEM

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