Goudreau, John Lester

Goudreau, John Lester is an individual health care provider with primary practice located at 804 Service Rd # A217 , East Lansing MI 48824-7015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Goudreau, John Lester can be contacted via phone (517) 353-8122.

Contact Information

Primary practice address
804 Service Rd # A217 East Lansing MI 48824-7015
Phone: (517) 353-8122
Fax: (517) 432-3713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 5101012751 Michigan

Profile Details

NPI number 1477563096
LBN Legal business name Goudreau, John Lester
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 29th, 2016 - about 9 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 1477563096 NPPES
Michigan MEDICAID 1477563096
Michigan MEDICAID 4318494

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