Goodart, Roy Allen

Goodart, Roy Allen is an individual health care provider with primary practice located at 4400 S 700 E Ste 200, Salt Lake City UT 84107-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Goodart, Roy Allen can be contacted via phone (801) 264-4444.

Contact Information

Primary practice address
4400 S 700 E Ste 200 Salt Lake City UT 84107-3000
Phone: (801) 264-4444
Fax: (801) 281-2383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 1595111205 Utah

Profile Details

NPI number 1871596411
LBN Legal business name Goodart, Roy Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1871596411 NPPES
Utah Other 107005361101 IHC
Utah Other 22686096009 IHC
Utah MEDICAID 0049543 IHC
Utah Other 2686096009 IHC
Utah Other 3264 IHC

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