Goodman, Karene Marie
Goodman, Karene Marie is an individual health care provider with primary practice located at 715 St Rt Cc , Rolla MO 65401. 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, Karene Marie can be contacted via phone (573) 308-5044.Contact Information
Primary practice address
715 St Rt Cc
Rolla MO 65401
Phone: (573) 308-5044
Fax: (573) 341-5300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 094845 | Missouri |
Profile Details
| NPI number | 1114007333 |
|---|---|
| LBN Legal business name | Goodman, Karene Marie |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Feb 22nd, 2008 - about 18 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 | 1114007333 | NPPES |
| Missouri | MEDICAID | 424960409 | |
| Missouri | Other | 500024104 |
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