Goad, Timothy

Goad, Timothy is an individual health care provider with primary practice located at 800 N Main St , Anna IL 62906-1665. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Goad, Timothy can be contacted via phone (618) 833-4456.

Contact Information

Primary practice address
800 N Main St Anna IL 62906-1665
Phone: (618) 833-4456
Fax: (618) 833-2371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1336861772
LBN Legal business name Goad, Timothy
Credentials BGS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2022
Last updated Sep 13th, 2022 - about 3 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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