Greggory Goodman
Clinical Ethicist
508 14th Avenue Ct
Hampton
, Illinois 61256-9603
Greggory Goodman
Clinical Ethicist
508 14th Avenue Ct
Hampton
, Illinois 61256-9603
(309) 373-4151
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About
Features
Specialties
- Clinical Ethicist
Languages spoken
- English
Location
First Address
- Greggory Goodman
- 508 14th Avenue Ct
- Hampton, IL
- Zip : 61256-9603
- Phone : (309) 373-4151
Second Address
- Greggory Goodman
- 508 14th Avenue Ct
- Hampton, IL
- Zip : 61256-9603
- Phone : (309) 373-4151
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 174V00000X | Clinical Ethicist | 160.007718 | IL |
National Provider Identifier
| NPI | 1053853796 |
|---|---|
| Provider Name | Greggory Goodman |
| First Address | Hampton, IL 61256-9603 |
| Second Address | Hampton, IL 61256-9603 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/11/2016 |
| Last Update Date | 11/11/2016 |
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.