Goodman, Mary Joanne
Goodman, Mary Joanne is an individual health care provider with primary practice located at 2842 S Business Dr , Sheboygan WI 53081-6518. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Goodman, Mary Joanne can be contacted via phone (920) 458-6527.Contact Information
Primary practice address
2842 S Business Dr
Sheboygan WI 53081-6518
Phone: (920) 458-6527
Fax: (920) 458-6623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 18913-130 | Wisconsin |
Profile Details
| NPI number | 1750942157 |
|---|---|
| LBN Legal business name | Goodman, Mary Joanne |
| Credentials | CSW, SAC-IT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2019 |
| Last updated | Jun 26th, 2019 - about 7 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 | 1750942157 | NPPES |
| Wisconsin | MEDICAID | 100013835 |
Popular Providers
-
Wilken, Darlene
2842 S. Business Dr , Sheboygan WI 53081 -
Klavekoske, Teresa
1721 Saemann Ave , Sheboygan WI 53081-2342 -
Castro, Samantha L
2842 S Business Dr , Sheboygan WI 53081-6518 -
Maki, Laura Renee
2842 S Business Dr , Sheboygan WI 53081-6518 -
Simac, Frank William
1504 New Jersey Ave , Sheboygan WI 53081-4845 -
Jakubowski, Paula
3425 Superior Ave , Sheboygan WI 53081-1863 -
Mader, Christopher
1011 N 8Th St , Sheboygan WI 53081-4006 -
Erdman, Christopher Jay
2842 S Business Dr , Sheboygan WI 53081-6518