Individual
GRANT STEVEN GOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 585-5502
Mailing address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 585-5502
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA 15524 NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311105593006
TRICARE
—
Enumeration date
12/08/2013
Last updated
06/06/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us