Goodson, William Ernest

Goodson, William Ernest is an individual health care provider with primary practice located at 11258 State Route 348 , Lucasville OH 45648-8971. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Goodson, William Ernest can be contacted via phone (740) 259-5497.

Contact Information

Primary practice address
11258 State Route 348 Lucasville OH 45648-8971
Fax: (740) 259-5497
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X Ohio

Profile Details

NPI number 1598977431
LBN Legal business name Goodson, William Ernest
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598977431 NPPES
Ohio MEDICAID 0951993

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