Orentaite, Goda
Orentaite, Goda is an sole proprietor health care provider with primary practice located at 9760 S Kedzie Ave Ste 3 , Evergreen Park IL 60805-3184. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Orentaite, Goda can be contacted via phone (708) 423-6209.Contact Information
Primary practice address
9760 S Kedzie Ave Ste 3
Evergreen Park IL 60805-3184
Phone: (708) 423-6209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1861114373 |
|---|---|
| LBN Legal business name | Orentaite, Goda |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2022 |
| Last updated | Sep 19th, 2022 - about 4 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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