Jacey E Goddard
Family Doctor Neuromusculoskeletal Medicine (NMM)
491 Us Route 1
Freeport
, Maine 04032-7021
Jacey E Goddard
Family Doctor Neuromusculoskeletal Medicine (NMM)
491 Us Route 1
Freeport
, Maine 04032-7021
(207) 865-6653
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
Languages spoken
- English
Location
First Address
- Jacey E Goddard
- 491 Us Route 1
- Freeport, ME
- Zip : 04032-7021
- Fax : (207) 865-6653
- Phone : (207) 865-6655
Second Address
- Jacey E Goddard
- 491 Us Route 1
- Freeport, ME
- Zip : 04032-7021
- Fax : (207) 865-6653
- Phone : (207) 865-6655
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FAQs
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What type of doctor is Jacey E Goddard
In what state does Jacey E Goddard practice in?
Where is Jacey E Goddard ’s practice located?
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Is Jacey E Goddard a sole practitioner?
Is Jacey E Goddard accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 1766 | ME |
| N | 207Q00000X | Family Doctor | 1766 | ME |
National Provider Identifier
| NPI | 1073569216 |
|---|---|
| Provider Name | Jacey E Goddard |
| First Address | Freeport, ME 04032-7021 |
| Second Address | Freeport, ME 04032-7021 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 03/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I10578 | (02) | ME |
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.