Goodman, Brian

Goodman, Brian is an individual health care provider with primary practice located at 201 E Nicollet Blvd Fairview Ridges Hospital, Burnsville MN 55337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Goodman, Brian can be contacted via phone (952) 892-2021.

Contact Information

Primary practice address
201 E Nicollet Blvd Fairview Ridges Hospital Burnsville MN 55337
Phone: (952) 892-2021
Fax: (952) 892-2670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 55046-020 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 45985 Minnesota

Profile Details

NPI number 1386611564
LBN Legal business name Goodman, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Apr 3rd, 2024 - about 8 months 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 1386611564 NPPES
Minnesota Other 45985 MEDICAL LICENSE
Minnesota MEDICAID 303674000 MEDICAL LICENSE

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