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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649593054 | NPPES |
| New Mexico | MEDICAID | D3124 |
Popular Providers
-
Gray, Stanley K
5100 2Nd St Nw , Albuquerque NM 87107-4009 -
Smith-Moore, Angela
707 Broadway Blvd Ne Ste 500, Albuquerque NM 87102-2360 -
Fischer, Susan Paige
2221 Rio Grande Blvd Nw , Albuquerque NM 87104-2529 -
Petties, Kali Suzanne Nan
119 Industrial Ave Ne , Albuquerque NM 87107-2283 -
Dunn, Kody Lynn
10500 Cibola Loop Nw Apt H201, Albuquerque NM 87114-5178 -
Carnahan, Cassie Lee
2301 Yale Blvd Se Ste F , Albuquerque NM 87106-4228 -
Payne, Maurice Kato
5901 Zuni Rd Se , Albuquerque NM 87108-3073 -
Santistevan, Maria E
8205 Spain Rd Ne Ste 106 , Albuquerque NM 87109-3155