Individual
DR. WALLACE HANNA GOOD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 LAKEMOUNT DR, SAINT ALBANS, VT 05478-0386
(802) 524-5867
Mailing address
PO BOX 386, SAINT ALBANS, VT 05478-0386
(802) 452-5817
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042-0006834
VT
207L00000X
Anesthesiology Physician
144954
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006375
—
VT
05
—
01053034
—
NY
01
—
06375
BLUE SHIELD
VT
01
—
86095
MVP
VT
Enumeration date
07/10/2006
Last updated
07/08/2007
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