Goodenow, Thomas Joseph

Goodenow, Thomas Joseph is an individual health care provider with primary practice located at 1221 S Broadway , Lexington KY 40504-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Goodenow, Thomas Joseph can be contacted via phone (859) 258-4401.

Contact Information

Primary practice address
1221 S Broadway Lexington KY 40504-2701
Phone: (859) 258-4401
Fax: (859) 258-4418
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 18990 Kentucky

Profile Details

NPI number 1609807189
LBN Legal business name Goodenow, Thomas Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Nov 2nd, 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 1609807189 NPPES
Kentucky Other 37903705 MEDICAID LAB GROUP
Kentucky Other CB5773 MEDICAID LAB GROUP
Kentucky Other 4000501 MEDICAID LAB GROUP
Kentucky MEDICAID 64189905 MEDICAID LAB GROUP

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