Goodeyon, Adele Hamett
Goodeyon, Adele Hamett is an individual health care provider with primary practice located at 1540 Florida Ave #100, Modesto CA 95350-4430. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Goodeyon, Adele Hamett can be contacted via phone (209) 577-5557.Contact Information
Primary practice address
1540 Florida Ave #100
Modesto CA 95350-4430
Phone: (209) 577-5557
Fax: (209) 577-8125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 277219NP7249 | California |
Profile Details
| NPI number | 1447290093 |
|---|---|
| LBN Legal business name | Goodeyon, Adele Hamett |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1447290093 | NPPES |
| California | MEDICAID | ZZZ76734Z |
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