Goodson, Kimberly
Goodson, Kimberly is an sole proprietor health care provider with primary practice located at Lincoln Behavioral Services 9315 Telegraph Road, Redford MI 48239. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Goodson, Kimberly can be contacted via phone (313) 450-4500.Contact Information
Primary practice address
Lincoln Behavioral Services 9315 Telegraph Road
Redford MI 48239
Phone: (313) 450-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Michigan |
Profile Details
| NPI number | 1437665189 |
|---|---|
| LBN Legal business name | Goodson, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2017 |
| Last updated | Apr 7th, 2022 - about 2 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 | 1437665189 | NPPES |
| Michigan | MEDICAID | P613469067450 |
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