Goodman, Dennis W
Goodman, Dennis W is an sole proprietor health care provider with primary practice located at 10513 Silverdale Way Nw Suite 110, Silverdale WA 98383-9499. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goodman, Dennis W can be contacted via phone (360) 698-3680.Contact Information
Primary practice address
10513 Silverdale Way Nw Suite 110
Silverdale WA 98383-9499
Phone: (360) 698-3680
Fax: (360) 692-2963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00001749 | Washington |
Profile Details
| NPI number | 1639175011 |
|---|---|
| LBN Legal business name | Goodman, Dennis W |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Nov 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639175011 | NPPES |
| Washington | MEDICAID | 2027399 |
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