Godley, Frederick Augustus

Godley, Frederick Augustus is an individual health care provider with primary practice located at 845 N Main St Suite 1, Providence RI 02904-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Godley, Frederick Augustus can be contacted via phone (401) 331-9690.

Contact Information

Primary practice address
845 N Main St Suite 1 Providence RI 02904-5700
Phone: (401) 331-9690
Fax: (401) 331-9609
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD7590 Rhode Island

Profile Details

NPI number 1508837816
LBN Legal business name Godley, Frederick Augustus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1508837816 NPPES
Rhode Island Other 7614070 AETNA-NON HMO
Rhode Island Other 2255578 AETNA-NON HMO
Rhode Island Other 406139 AETNA-NON HMO
Rhode Island Other 19892 AETNA-NON HMO
Rhode Island Other J11772 AETNA-NON HMO
Rhode Island Other 10-00234 AETNA-NON HMO
Rhode Island Other 20996-0 AETNA-NON HMO
Rhode Island Other 1594 AETNA-NON HMO
Rhode Island Other 5994946001 AETNA-NON HMO

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