National Provider Identifier Database

MISTY M CRICK GOODMAN, LE – NPI #1154030401
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.


Contact Information

MISTY M CRICK GOODMAN, LE
20622 108TH STREET CT E
BONNEY LAKE, WA98391-7969
Phone: 253-332-3173
Fax:
Website:
Specialty Taxonomy Code
* Specialist/Technologist, Other 246Z00000X

* Indicates primary specialty

NPI Profile & details for MISTY M CRICK GOODMAN

NPI Number 1154030401
Credentials LE
Entity Individual
Enumeration date 11/15/2022
Last updated 11/15/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 9756
Hospital affiliation n/a

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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