Goforth, Cheryl Louise

Goforth, Cheryl Louise is an individual health care provider with primary practice located at 200 New York Ave Ste 160, Oak Ridge TN 37830-5212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goforth, Cheryl Louise can be contacted via phone (865) 835-5138.

Contact Information

Primary practice address
200 New York Ave Ste 160 Oak Ridge TN 37830-5212
Phone: (865) 835-5138
Fax: (865) 835-5139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000005366 Tennessee

Profile Details

NPI number 1477653970
LBN Legal business name Goforth, Cheryl Louise
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Apr 29th, 2021 - about 5 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 1477653970 NPPES
Tennessee MEDICAID 1522208

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