Goodman, Stacey P
Goodman, Stacey P is an sole proprietor health care provider with primary practice located at 926 E Wayne St , South Bend IN 46617-3000. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Goodman, Stacey P can be contacted via phone (574) 233-8812.Contact Information
Primary practice address
926 E Wayne St
South Bend IN 46617-3000
Phone: (574) 233-8812
Fax: (574) 233-8873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 32000767A | Indiana |
Profile Details
| NPI number | 1568639490 |
|---|---|
| LBN Legal business name | Goodman, Stacey P |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2008 |
| Last updated | May 9th, 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.
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