Matthew Alan Goddard in Chicago - Orthotist
Matthew Alan Goddard - NPI 1306981345
Matthew Alan Goddard is a Orthotist in Chicago, Illinois. Matthew Alan Goddard practices all healthcare services and medical treatments related to Orthotist. The NPI Number for Matthew Alan Goddard is 1306981345. The last update date is 2007-07-08.
Matthew Alan Goddard's current location address is 2740 N Pine Grove Ave Apt 13c, Chicago, Illinois. You can contact this provider via phone number 7733273228 and fax number 7733271054. The mailing address for Matthew Alan Goddard is 2740 N Pine Grove Ave Apt 13c, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Alan Goddard |
|---|---|
| Address | 2740 N Pine Grove Ave Apt 13c, Chicago, Illinois |
| Phone Number | 7733273228 |
| Fax Number | 7733271054 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306981345 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2740 N Pine Grove Ave Apt 13c |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606146103 |
| Phone Number | 7733273228 |
| Fax Number | 7733271054 |
Provider's Primary Taxonomy Detail
| Speciality | Orthotist |
|---|---|
| Taxonomy | 222Z00000X |
|
Definition: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper |
|
Post Comment/ Review Below
What is the Matthew Alan Goddard's unique identification number?
The Matthew Alan Goddard has been assigned the NPI (National Provider Identifier) Number 1306981345 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Matthew Alan Goddard located?
The Matthew Alan Goddard is located at 2740 N Pine Grove Ave Apt 13C, Chicago, IL 606146103.
What is Matthew Alan Goddard's area of expertise and its corresponding taxonomy classification?
The Matthew Alan Goddard's field of specialization is Orthotist, and it falls under the taxonomy code 222Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306981345 to Matthew Alan Goddard?
The Centers for Medicare & Medicaid Services originally issued the 1306981345 to Matthew Alan Goddard on 2007-02-20.
As of what date were the details related to Matthew Alan Goddard most recently updated or revised?
The information pertaining to Matthew Alan Goddard, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.