Goodman, Charles Harrell
Goodman, Charles Harrell is an individual health care provider with primary practice located at 2835 N Sheffield Ave Suite 408, Chicago IL 60657. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Goodman, Charles Harrell can be contacted via phone (773) 327-1613.Contact Information
Primary practice address
2835 N Sheffield Ave Suite 408
Chicago IL 60657
Phone: (773) 327-1613
Fax: (773) 327-3642
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 12009427 | Indiana |
Dental Providers / Periodontics | 1223P0300X | Illinois |
Profile Details
NPI number | 1164547105 |
---|---|
LBN Legal business name | Goodman, Charles Harrell |
Credentials | DDS MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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