Grippen Goddard, Amanda Violet
Grippen Goddard, Amanda Violet is an individual health care provider with primary practice located at 7001 Signal Ave Ne , Albuquerque NM 87113-2453. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Grippen Goddard, Amanda Violet can be contacted via phone (505) 826-2735.Contact Information
Primary practice address
7001 Signal Ave Ne
Albuquerque NM 87113-2453
Phone: (505) 826-2735
Fax: (505) 856-2749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | A233920 | New Mexico |
Profile Details
| NPI number | 1710399654 |
|---|---|
| LBN Legal business name | Grippen Goddard, Amanda Violet |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2014 |
| Last updated | Oct 30th, 2023 - 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 | 1710399654 | NPPES |
| New Mexico | Other | 1D3719 | MEDICARE PTAN |
| New Mexico | MEDICAID | 38337207 | MEDICARE PTAN |
| New Mexico | Other | 1D3721 | MEDICARE PTAN |
Popular Providers
-
Dokmeci, Osman Caner
8304 R C Gorman Ave Ne , Albuquerque NM 87122-2718 -
Haynes, Elizabeth
1201 Camino De Salud Ne , Albuquerque NM 87131-4597 -
Abernathy-Carver, Katherine Jean
2509 Virginia St Ne Ste B, Albuquerque NM 87110-4694 -
Wang, Shanze
7001 Signal Ave Ne , Albuquerque NM 87113-2453 -
Ghably, Jack George
7001 Signal Ave Ne , Albuquerque NM 87113-2453 -
Marin, Eileen M
10301 Georgia Ave Ste 306, Silver Spring MD 20902-5020 -
Glassheim, Jeffrey W
1010 Las Lomas Rd Ne Suite 4, Albuquerque NM 87102-2634 -
Daffern, Pamela J
1020 Tijeras Ave Ne Suite 22, Albuquerque NM 87106-4749