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Contact Information

JACEY E GODDARD, DO
491 US ROUTE 1
FREEPORT, ME04032-7021
 Phone: 207-865-6655
 Fax: 207-865-6653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JACEY E GODDARD · (Female)

NPI # 1073569216
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/26/2006
Last updated 05/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • ME License # 1766
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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