Goddard, Matthew Alan

Goddard, Matthew Alan is an sole proprietor health care provider with primary practice located at 2515 N Clark St Ste 802 , Chicago IL 60614-2730. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Goddard, Matthew Alan can be contacted via phone (773) 327-3228.

Contact Information

Primary practice address
2515 N Clark St Ste 802 Chicago IL 60614-2730
Phone: (773) 327-3228
Fax: (773) 327-1054
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1306981345
LBN Legal business name Goddard, Matthew Alan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 8th, 2007 - about 19 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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