Gooden, Cheryl K
Gooden, Cheryl K is an individual health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as her primary health care specialty. Gooden, Cheryl K can be contacted via phone (203) 785-2802.Contact Information
Primary practice address
20 York St
New Haven CT 06510-3220
Phone: (203) 785-2802
Fax: (203) 785-2802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 62085 | Connecticut |
Profile Details
| NPI number | 1083697445 |
|---|---|
| LBN Legal business name | Gooden, Cheryl K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Nov 12th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083697445 | NPPES |
| Connecticut | MEDICAID | 01586781 |
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