Goff, Chandra Maya

Goff, Chandra Maya is an individual health care provider with primary practice located at 17218 N 72Nd Dr Ste 101 , Glendale AZ 85308-8580. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Goff, Chandra Maya can be contacted via phone (623) 334-8671.

Contact Information

Primary practice address
17218 N 72Nd Dr Ste 101 Glendale AZ 85308-8580
Phone: (623) 334-8671
Fax: (623) 334-8675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA52670 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7038 Arizona

Profile Details

NPI number 1366818379
LBN Legal business name Goff, Chandra Maya
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2015
Last updated Feb 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366818379 NPPES
Arizona MEDICAID 441762

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