Goodman, Nicole

Goodman, Nicole is an individual health care provider with primary practice located at 13172 State Highway 64 E , Tyler TX 75707-5340. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Goodman, Nicole can be contacted via phone (502) 542-0583.

Contact Information

Primary practice address
13172 State Highway 64 E Tyler TX 75707-5340
Phone: (502) 542-0583
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X AT6334 Texas

Profile Details

NPI number 1609224393
LBN Legal business name Goodman, Nicole
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2016
Last updated Jun 2nd, 2016 - about 10 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.

Request for update

Popular Providers