Gooden, Robin William
Gooden, Robin William is an individual health care provider with primary practice located at 16 Penn Plz Ste 22, Bangor ME 04401-3620. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gooden, Robin William can be contacted via phone (207) 947-8077.Contact Information
Primary practice address
16 Penn Plz Ste 22
Bangor ME 04401-3620
Phone: (207) 947-8077
Fax: (207) 947-3721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CR1314 | Maine |
Profile Details
| NPI number | 1164438917 |
|---|---|
| LBN Legal business name | Gooden, Robin William |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Sep 4th, 2019 - about 7 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 | 1164438917 | NPPES |
| Maine | MEDICAID | 170220000 |
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