Goodrich, Stefanie A

Goodrich, Stefanie A is an individual health care provider with primary practice located at 100 Martin Luther King Jr Blvd , Worcester MA 01680-1209. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Goodrich, Stefanie A can be contacted via phone (508) 754-3823.

Contact Information

Primary practice address
100 Martin Luther King Jr Blvd Worcester MA 01680-1209
Phone: (508) 754-3823
Fax: (508) 753-0151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1875 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1875 Massachusetts

Profile Details

NPI number 1689665135
LBN Legal business name Goodrich, Stefanie A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Feb 13th, 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.

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