Goodson, Cory

Goodson, Cory is an individual health care provider with primary practice located at 1420 E Douglas Rd , Mishawaka IN 46545-1733. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Goodson, Cory can be contacted via phone (574) 307-7200.

Contact Information

Primary practice address
1420 E Douglas Rd Mishawaka IN 46545-1733
Phone: (574) 307-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05009121A Indiana

Profile Details

NPI number 1013292754
LBN Legal business name Goodson, Cory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2011
Last updated Oct 13th, 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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