Christopher Goddard
Nurse Practitioner - Gerontology
234 Goodman St
Cincinnati
, Ohio 45219-2364
Christopher Goddard
Nurse Practitioner - Gerontology
234 Goodman St
Cincinnati
, Ohio 45219-2364
(513) 245-3104
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Christopher Goddard
- Po Box 636256 Central Credentialing
- Cincinnati, OH
- Zip : 45263-6256
- Phone : (513) 245-3104
Second Address
- Christopher Goddard
- 234 Goodman St
- Cincinnati, OH
- Zip : 45219-2364
- Fax : (513) 584-4281
- Phone : (513) 558-4252
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | COA 16953 NP | OH |
National Provider Identifier
| NPI | 1053700476 |
|---|---|
| Provider Name | Christopher Goddard |
| First Address | Cincinnati, OH 45263-6256 |
| Second Address | Cincinnati, OH 45219-2364 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2015 |
| Last Update Date | 13/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.