Goodridge, George William
Goodridge, George William is an sole proprietor health care provider with primary practice located at 792 E Bridgewater Ct , Boise ID 83706-6424. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Goodridge, George William can be contacted via phone (208) 433-0024.Contact Information
Primary practice address
792 E Bridgewater Ct
Boise ID 83706-6424
Phone: (208) 433-0024
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT-248 | Idaho |
Profile Details
NPI number | 1710014394 |
---|---|
LBN Legal business name | Goodridge, George William |
Credentials | ATC, EMC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 28th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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