Gooden, Charles M
Gooden, Charles M is an individual health care provider with primary practice located at 7001 Rogers Ave Ste 600 , Fort Smith AR 72903-4073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gooden, Charles M can be contacted via phone (479) 573-3101.Contact Information
Primary practice address
7001 Rogers Ave Ste 600
Fort Smith AR 72903-4073
Phone: (479) 573-3101
Fax: (479) 573-3102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29487 | Alabama |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | E-6422 | Arkansas |
Profile Details
| NPI number | 1558322016 |
|---|---|
| LBN Legal business name | Gooden, Charles M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Mar 10th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558322016 | NPPES |
| Oklahoma | MEDICAID | 200298850A |
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