Goodwill, Stacy L
Goodwill, Stacy L is an individual health care provider with primary practice located at 1815 University Dr S Suite 3, Fargo ND 58103-4900. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Goodwill, Stacy L can be contacted via phone (701) 237-3583.Contact Information
Primary practice address
1815 University Dr S Suite 3
Fargo ND 58103-4900
Phone: (701) 237-3583
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1937 | North Dakota |
| Dental Providers / General Practice | 1223G0001X | D11537 | Minnesota |
Profile Details
| NPI number | 1750342275 |
|---|---|
| LBN Legal business name | Goodwill, Stacy L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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