Goodroad, Brian Keith

Goodroad, Brian Keith is an individual health care provider with primary practice located at 701 Park Ave B1.290, Minneapolis MN 55415-1623. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Goodroad, Brian Keith can be contacted via phone (612) 873-2700.

Contact Information

Primary practice address
701 Park Ave B1.290 Minneapolis MN 55415-1623
Phone: (612) 873-2700
Fax: (612) 904-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R1051731 Minnesota

Profile Details

NPI number 1730132127
LBN Legal business name Goodroad, Brian Keith
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 4th, 2011 - about 13 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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