Goodspeed, Camille A.

Goodspeed, Camille A. is an individual health care provider with primary practice located at 1802 W 4Th St , Wilmington DE 19805-3420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Goodspeed, Camille A. can be contacted via phone (302) 655-5822.

Contact Information

Primary practice address
1802 W 4Th St Wilmington DE 19805-3420
Phone: (302) 655-5822
Fax: (302) 655-3541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C2-00007022 Delaware

Profile Details

NPI number 1689673337
LBN Legal business name Goodspeed, Camille A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Oct 19th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689673337 NPPES
Delaware MEDICAID 1000028579

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