Goff, Kristen Marie
Goff, Kristen Marie is an individual health care provider with primary practice located at 1 Medical Center Dr Dept. Of Neurology, Lebanon NH 03756-1000. 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, Kristen Marie can be contacted via phone (603) 650-7491.Contact Information
Primary practice address
1 Medical Center Dr Dept. Of Neurology
Lebanon NH 03756-1000
Phone: (603) 650-7491
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0930 | New Hampshire |
Profile Details
| NPI number | 1710229646 |
|---|---|
| LBN Legal business name | Goff, Kristen Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2013 |
| Last updated | Nov 25th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710229646 | NPPES |
| Vermont | MEDICAID | 9000601 | |
| Vermont | MEDICAID | 3081627 |
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