Goodman, Donald Bruce
Goodman, Donald Bruce is an individual health care provider with primary practice located at 1450 Matthews Township Pkwy Suite 450, Matthews NC 28105-2387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Goodman, Donald Bruce can be contacted via phone (704) 384-8480.Contact Information
Primary practice address
1450 Matthews Township Pkwy Suite 450
Matthews NC 28105-2387
Phone: (704) 384-8480
Fax: (704) 384-8481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20659 | North Carolina |
Profile Details
| NPI number | 1912977190 |
|---|---|
| LBN Legal business name | Goodman, Donald Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jun 12th, 2023 - about last year |
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 | 1912977190 | NPPES |
| South Carolina | MEDICAID | N20659 | |
| South Carolina | MEDICAID | 8936219 |
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