Goodman, Wallace
Goodman, Wallace is an individual health care provider with primary practice located at 501 Highway J N , Hayti MO 63851. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Goodman, Wallace can be contacted via phone (573) 359-2600.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2011024580 | Missouri |
Profile Details
| NPI number | 1427488055 |
|---|---|
| LBN Legal business name | Goodman, Wallace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2013 |
| Last updated | Nov 18th, 2013 - 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.
Popular Providers
-
Harless, Jonathan
500 Hwy J North , Hayti MO 63851 -
Richardson, Melisa Renee
812 E Washington St , Hayti MO 63851-1752 -
Sells, Ronnie
500 Highway J , Hayti MO 63851-1200 -
Hampton, Larry
500 Hwy J North , Hayti MO 63851 -
Welch, Carla
500 Hwy J North , Hayti MO 63851 -
Looney, Anita Ladawn
500 Hwy J North , Hayti MO 63851 -
Shelton, Rebecca Sue
500 Highway J , Hayti MO 63851-1200 -
Walker, Jessica Marie
500 Hwy J , Hayti MO 63851