Goodin, Jason A.

Goodin, Jason A. is an individual health care provider with primary practice located at 1705 East Broadway Suite 280, Columbia MO 65201-7185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Goodin, Jason A. can be contacted via phone (573) 815-7119.

Contact Information

Primary practice address
1705 East Broadway Suite 280 Columbia MO 65201-7185
Phone: (573) 815-7119
Fax: (573) 815-7116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 2006016594 Missouri

Profile Details

NPI number 1629165436
LBN Legal business name Goodin, Jason A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Feb 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629165436 NPPES
Missouri MEDICAID 200011712

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