Goodliffe, Pamela
Goodliffe, Pamela is an sole proprietor health care provider with primary practice located at 585 West Booth , Lava Hot Springs ID 83246-0458. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Goodliffe, Pamela can be contacted via phone (208) 776-5929.Contact Information
Primary practice address
585 West Booth
Lava Hot Springs ID 83246-0458
Phone: (208) 776-5929
Fax: (208) 776-5011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D3845 | Idaho |
Profile Details
| NPI number | 1356418412 |
|---|---|
| LBN Legal business name | Goodliffe, Pamela |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Apr 30th, 2015 - about 11 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 | 1356418412 | NPPES |
| Idaho | MEDICAID | 8070282 |
Popular Providers
-
Winn, Frank O.
4551 Gautier Vancleave Rd Ste A, Gautier MS 39553-4810 -
Duran, Daniel A.
2974 N Main St , Las Cruces NM 88001-1152 -
Rose, Robert Carmen
995 Old Eagle School Rd Suite 305, Wayne PA 19087-1709 -
Bienenstock, Marc Irwin
3809 Junction Blvd Fl 2, Corona NY 11368-2153 -
Kunz, Matthew F
180 S. Main Street , Soda Springs ID 83276 -
Raiber, Robert Brian
630 5Th Ave , New York NY 10111-0100 -
Walsh, Douglas Paul
9801 17Th Ave Sw , Seattle WA 98106-2759 -
Olinzock, David Richard
12620 Beach Blvd Ste 18, Jacksonville FL 32246-7130