Goodlive, Susan S
Goodlive, Susan S is an sole proprietor health care provider with primary practice located at 5070 Bradenton Ave , Dublin OH 43017-3520. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Goodlive, Susan S can be contacted via phone (614) 764-1777.Contact Information
Primary practice address
5070 Bradenton Ave
Dublin OH 43017-3520
Phone: (614) 764-1777
Fax: (614) 764-9555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-075144 | Ohio |
Profile Details
| NPI number | 1861456303 |
|---|---|
| LBN Legal business name | Goodlive, Susan S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Nov 3rd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861456303 | NPPES |
| Ohio | MEDICAID | 2205876 |
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