Goodall, Scott T

Goodall, Scott T is an individual health care provider with primary practice located at 10400 E Alameda Ave , Denver CO 80247-5104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Goodall, Scott T can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10400 E Alameda Ave Denver CO 80247-5104
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32996 Colorado

Profile Details

NPI number 1134126592
LBN Legal business name Goodall, Scott T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Apr 26th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134126592 NPPES
Colorado MEDICAID 01329960
Colorado Other 019386

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