Good, Becky S
Good, Becky S is an individual health care provider with primary practice located at 1500 Salem St , Lafayette IN 47904-2164. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Good, Becky S can be contacted via phone (765) 448-8000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 71001987A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71001987A | Indiana |
Profile Details
| NPI number | 1336108646 |
|---|---|
| LBN Legal business name | Good, Becky S |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jun 26th, 2023 - about 3 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 | 1336108646 | NPPES |
| Indiana | Other | 9397718 | PHCS PID NUMBER |
| Indiana | Other | 000000372083 | PHCS PID NUMBER |
| Indiana | MEDICAID | 200532730 | PHCS PID NUMBER |
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