Goddard, John A.

Goddard, John A. is an individual health care provider with primary practice located at 600 18Th St Suite 512, Parkersburg WV 26101-3231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Goddard, John A. can be contacted via phone (304) 424-4574.

Contact Information

Primary practice address
600 18Th St Suite 512 Parkersburg WV 26101-3231
Phone: (304) 424-4574
Fax: (304) 424-4429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 20468 West Virginia

Profile Details

NPI number 1063489425
LBN Legal business name Goddard, John A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Apr 18th, 2022 - about 4 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 1063489425 NPPES
West Virginia MEDICAID 3810002047

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