Goodykoontz, Toni B
Goodykoontz, Toni B is an sole proprietor health care provider with primary practice located at 1400 Johnson Ave Suite 4H, Bridgeport WV 26330-1063. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Goodykoontz, Toni B can be contacted via phone (304) 842-1990.Contact Information
Primary practice address
1400 Johnson Ave Suite 4H
Bridgeport WV 26330-1063
Phone: (304) 842-1990
Fax: (304) 842-4471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 15898 | West Virginia |
Profile Details
| NPI number | 1659378354 |
|---|---|
| LBN Legal business name | Goodykoontz, Toni B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Mar 29th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659378354 | NPPES |
| West Virginia | MEDICAID | 0115011000 |
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