Gooden, Michael Allen
Gooden, Michael Allen is an individual health care provider with primary practice located at 101 3Rd Ave Sw , Minot ND 58701-3880. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Gooden, Michael Allen can be contacted via phone (701) 857-5764.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 22434 | West Virginia |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20030588 | New Mexico |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 22434 | West Virginia |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 15311 | North Dakota |
Profile Details
NPI number | 1598756595 |
---|---|
LBN Legal business name | Gooden, Michael Allen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 2005 |
Last updated | Apr 13th, 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 | 1598756595 | NPPES |
West Virginia | Other | 001881734 | BCBS |
West Virginia | MEDICAID | 3810006149 | BCBS |
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