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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACEY E GODDARD, DO

Active

JACEY E GODDARD, DO is a Electrodiagnostic Medicine healthcare provider located in FREEPORT, Maine. NPI 1073569216 is currently active in the NPPES registry. Verify at CMS.

Electrodiagnostic Medicine · FREEPORT, ME

Registration Details

NPI Number
1073569216
Provider Type
Individual
Gender
Female
NPI Issued
May 26, 2006 (20.193327319477 yrs)
Last Updated
May 3, 2016
Licenses
1766 (ME)
1766 (ME)

Practice Information

Address
491 US ROUTE 1
FREEPORT, ME, 040327021
Browse ME providers · Browse ZIP 04032
Phone
2078656655
Fax
2078656653
Primary Specialty
Electrodiagnostic Medicine
204D00000X
Additional Specialty
Electrodiagnostic Medicine

Other Electrodiagnostic Medicine Providers in FREEPORT, ME

Name Credential NPI
PETER MICHAEL FILE D.O. 1962423194
LYNETTE BASSETT WILLARD D.O. 1184646762
DANIEL S GIBBONS DO 1720242357
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.