Gooch, Shanae
Gooch, Shanae is an sole proprietor health care provider with primary practice located at 1811 College Ave Se , Grand Rapids MI 49507-2621. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Gooch, Shanae can be contacted via phone (616) 236-3074.Contact Information
Primary practice address
1811 College Ave Se
Grand Rapids MI 49507-2621
Phone: (616) 236-3074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
| Nursing Service Related Providers / Nurse's Aide | 376K00000X |
Profile Details
| NPI number | 1689118150 |
|---|---|
| LBN Legal business name | Gooch, Shanae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2016 |
| Last updated | Dec 18th, 2016 - about 10 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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