IndividualActive
Amy Goodman
NPI 1225593791 · Student in an Organized Health Care Education/Training Program · Adrian, MI
Provider details
- NPI number
- 1225593791
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
- License
- G355-0119-7940 (IL)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense G355-0119-7940 (IL)
Student, Health Care
Practice location
1325 Williams St
Adrian, MI 49221-2563
Phone: (815) 307-0987
Approximate (ZIP-level) locationGet directions
Mailing address
3316 Chestnut Dr
Mchenry, IL 60051-2691
Registry dates
- Enumerated
- 2019-02-08
- Last updated
- 2019-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.