Goode, Merton Bernard

Goode, Merton Bernard is an individual health care provider with primary practice located at 2000 Vale Rd , San Pablo CA 94806-3808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Goode, Merton Bernard can be contacted via phone (510) 970-5000.

Contact Information

Primary practice address
2000 Vale Rd San Pablo CA 94806-3808
Phone: (510) 970-5000
Fax: (510) 970-5761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C37235 California

Profile Details

NPI number 1295775039
LBN Legal business name Goode, Merton Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 15th, 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 1295775039 NPPES
California MEDICAID 00C372350

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