Goddard, Joan C
Goddard, Joan C is an individual health care provider with primary practice located at 180 Corliss St Ste B , Providence RI 02904-2602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Goddard, Joan C can be contacted via phone (401) 793-8400.Contact Information
Primary practice address
180 Corliss St Ste B
Providence RI 02904-2602
Phone: (401) 793-8400
Fax: (401) 793-8402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD06754 | Rhode Island |
Profile Details
| NPI number | 1225034077 |
|---|---|
| LBN Legal business name | Goddard, Joan C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Oct 19th, 2020 - about 6 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 | 1225034077 | NPPES |
| Massachusetts | MEDICAID | 0181099 | |
| Massachusetts | MEDICAID | 7002212 |
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