Goodman, Julie Ann
Goodman, Julie Ann is an individual health care provider with primary practice located at 11601 Iron Bridge Rd Suite 117, Chester VA 23831-1466. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goodman, Julie Ann can be contacted via phone (804) 717-5300.Contact Information
Primary practice address
11601 Iron Bridge Rd Suite 117
Chester VA 23831-1466
Phone: (804) 717-5300
Fax: (804) 746-7269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024170337 | Virginia |
Profile Details
| NPI number | 1518216514 |
|---|---|
| LBN Legal business name | Goodman, Julie Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2012 |
| Last updated | Sep 11th, 2014 - about 12 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 | 1518216514 | NPPES |
| Virginia | Other | C09633 | GROUP PTAN |
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