Gooden, Joshua J

Gooden, Joshua J is an sole proprietor health care provider with primary practice located at 104 Albert Ave. , Scott City KS 67871-1216. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gooden, Joshua J can be contacted via phone (620) 872-0040.

Contact Information

Primary practice address
104 Albert Ave. Scott City KS 67871-1216
Phone: (620) 872-0040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1528-3 Kansas

Profile Details

NPI number 1255308177
LBN Legal business name Gooden, Joshua J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Feb 26th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255308177 NPPES
Kansas Other 651038 BLUE CROSS & BLUE SHIELD
Kansas Other 410039905 BLUE CROSS & BLUE SHIELD
Kansas MEDICAID 100325510C BLUE CROSS & BLUE SHIELD

Popular Providers