Goddard, Ethan

Goddard, Ethan is an individual health care provider with primary practice located at 474 W 200 N # 300 , Saint George UT 84770-4505. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Goddard, Ethan can be contacted via phone (435) 634-5600.

Contact Information

Primary practice address
474 W 200 N # 300 Saint George UT 84770-4505
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1346082963
LBN Legal business name Goddard, Ethan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2024
Last updated Jun 12th, 2024 - 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.

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