Gooding, Stanley

Gooding, Stanley is an individual health care provider with primary practice located at 5520 Godfrey Rd Ste B, Godfrey IL 62035-2741. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Gooding, Stanley can be contacted via phone (618) 463-7800.

Contact Information

Primary practice address
5520 Godfrey Rd Ste B Godfrey IL 62035-2741
Phone: (618) 463-7800
Fax: (618) 467-0073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2017001791 Missouri
Nursing Service Providers / Registered Nurse 163W00000X 131063 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209015670 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2017001791 Missouri

Profile Details

NPI number 1679019400
LBN Legal business name Gooding, Stanley
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2017
Last updated Apr 5th, 2017 - about 9 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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