Gooch, Heather Lynn

Gooch, Heather Lynn is an individual health care provider with primary practice located at 2720 San Pedro Dr Ne Albuquerque, Albuquerque NM 87110-3333. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Gooch, Heather Lynn can be contacted via phone (505) 265-7936.

Contact Information

Primary practice address
2720 San Pedro Dr Ne Albuquerque Albuquerque NM 87110-3333
Phone: (505) 265-7936
Fax: (505) 265-9685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1649593054
LBN Legal business name Gooch, Heather Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2010
Last updated Mar 12th, 2010 - about 16 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 1649593054 NPPES
New Mexico MEDICAID D3124

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