Verheyen, Alyssa Ryanne Goddard
Verheyen, Alyssa Ryanne Goddard is an individual health care provider with primary practice located at 6812 State Route 162 Suite 202, Maryville IL 62062-8553. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Verheyen, Alyssa Ryanne Goddard can be contacted via phone (618) 288-7605.Contact Information
Primary practice address
6812 State Route 162 Suite 202
Maryville IL 62062-8553
Phone: (618) 288-7605
Fax: (618) 288-7644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209011377 | Illinois |
Profile Details
| NPI number | 1689092132 |
|---|---|
| LBN Legal business name | Verheyen, Alyssa Ryanne Goddard |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2014 |
| Last updated | Jul 20th, 2015 - about 10 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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