Goodson, Joshua W

Goodson, Joshua W is an sole proprietor health care provider with primary practice located at 1111 Stark St , Utica NY 13502-4454. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Nursing Service Providers / Home Health, Nursing Service Providers / Pediatrics. Nursing Service Providers / Home Health is his primary health care specialty. Goodson, Joshua W can be contacted via phone (315) 724-8603.

Contact Information

Primary practice address
1111 Stark St Utica NY 13502-4454
Phone: (315) 724-8603
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 476476-1 New York
Nursing Service Providers / Home Health 163WH0200X 476476-1 New York
Nursing Service Providers / Pediatrics 163WP0200X 476476-1 New York

Profile Details

NPI number 1316152291
LBN Legal business name Goodson, Joshua W
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2007
Last updated Aug 27th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316152291 NPPES
New York MEDICAID 01709282

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