Goodale, Dianne L

Goodale, Dianne L is an individual health care provider with primary practice located at 200 Clinic Dr , Madisonville KY 42431-1661. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Goodale, Dianne L can be contacted via phone (270) 825-7200.

Contact Information

Primary practice address
200 Clinic Dr Madisonville KY 42431-1661
Phone: (270) 825-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 32926 Kentucky

Profile Details

NPI number 1497851562
LBN Legal business name Goodale, Dianne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Dec 3rd, 2020 - 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 1497851562 NPPES
Kentucky Other 32926 LICENSE
Kentucky Other 000000044287 LICENSE
Kentucky MEDICAID 64329261 LICENSE

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