Goddard, Janice Jean

Goddard, Janice Jean is an sole proprietor health care provider with primary practice located at 881 Fairway Dr , Chillicothe MO 64601-3673. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Goddard, Janice Jean can be contacted via phone (660) 646-0900.

Contact Information

Primary practice address
881 Fairway Dr Chillicothe MO 64601-3673
Phone: (660) 646-0900
Fax: (660) 646-7044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R7J46 Missouri

Profile Details

NPI number 1841276326
LBN Legal business name Goddard, Janice Jean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Mar 26th, 2014 - about 12 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 1841276326 NPPES
Missouri Other 15088046 BCBS
Missouri MEDICAID 242646701 BCBS

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