Goodman, Chad James

Goodman, Chad James is an individual health care provider with primary practice located at 250 Bon Air Rd , Greenbrae CA 94904-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Goodman, Chad James can be contacted via phone (415) 925-7301.

Contact Information

Primary practice address
250 Bon Air Rd Greenbrae CA 94904-1702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A71868 California

Profile Details

NPI number 1386686525
LBN Legal business name Goodman, Chad James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386686525 NPPES
California MEDICAID 00A718680
California Other 300121754
California Other 00A718680

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