Goddard, Michael

Goddard, Michael is an sole proprietor health care provider with primary practice located at 105 Hall St , Traverse City MI 49684-2288. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Goddard, Michael can be contacted via phone (231) 922-3850.

Contact Information

Primary practice address
105 Hall St Traverse City MI 49684-2288
Phone: (231) 922-3850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704297303 Michigan

Profile Details

NPI number 1720480791
LBN Legal business name Goddard, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2014
Last updated Sep 22nd, 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 1720480791 NPPES
Michigan Other 4704297303 REGISTERED NURSE

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