Goodman, Allyson M.
Goodman, Allyson M. is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Goodman, Allyson M. can be contacted via phone (417) 820-5400.Contact Information
Primary practice address
1235 E Cherokee St
Springfield MO 65804-2203
Phone: (417) 820-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2001001468 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 2001001468 | Missouri |
Profile Details
| NPI number | 1497896096 |
|---|---|
| LBN Legal business name | Goodman, Allyson M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Sep 24th, 2018 - about 6 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 | 1497896096 | NPPES |
| Missouri | Other | 98963 | AR BLUE SHIELD # |
| Missouri | MEDICAID | 205197304 | AR BLUE SHIELD # |
| Missouri | MEDICAID | 142262001 | AR BLUE SHIELD # |
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