Mr. Richard Goodman II
Prosthetist
386 Rutt Ln
Goose Creek
, South Carolina 29445-7808
Mr. Richard Goodman II
Prosthetist
386 Rutt Ln
Goose Creek
, South Carolina 29445-7808
(843) 882-7085
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Mr. Richard Goodman II
- 386 Rutt Ln
- Goose Creek, SC
- Zip : 29445-7808
- Phone : (843) 882-7085
Second Address
- Mr. Richard Goodman II
- 386 Rutt Ln
- Goose Creek, SC
- Zip : 29445-7808
- Phone : (843) 882-7085
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 7152 | SC |
National Provider Identifier
| NPI | 1457721839 |
|---|---|
| Provider Name | Mr. Richard Goodman II |
| First Address | Goose Creek, SC 29445-7808 |
| Second Address | Goose Creek, SC 29445-7808 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2015 |
| Last Update Date | 29/09/2015 |
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.