Organization
FALCO ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY C GOODMAN (OWNER)
(606) 329-8711
Entity
Organization
Contact information
Practice address
2301 LEXINGTON AVE, SUITE 300, ASHLAND, KY 41101-2873
(606) 329-8711
(606) 324-6291
Mailing address
PO BOX 271, ASHLAND, KY 41105-0271
(606) 329-8711
(606) 324-6291
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
23890
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439869
—
OH
05
—
64238900
—
KY
Enumeration date
08/28/2007
Last updated
08/28/2007
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