Goodrich, Timothy W
Goodrich, Timothy W is an individual health care provider with primary practice located at 825 Se Bishop Blvd Ste 601 , Pullman WA 99163-5512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Goodrich, Timothy W can be contacted via phone (509) 334-5876.Contact Information
Primary practice address
825 Se Bishop Blvd Ste 601
Pullman WA 99163-5512
Phone: (509) 334-5876
Fax: (509) 332-8793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 0530995 | Kansas |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 774 | Nebraska |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 005600 | Arizona |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 63863 | Georgia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | OP60500221 | Washington |
Profile Details
| NPI number | 1598887861 |
|---|---|
| LBN Legal business name | Goodrich, Timothy W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Jun 8th, 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 | 1598887861 | NPPES |
| Washington | Other | OP60500221 | WASHINGTON LICENSE |
| Washington | Other | CS37466 | WASHINGTON LICENSE |
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