Goodman, Douglas E
Goodman, Douglas E is an individual health care provider with primary practice located at 5325 Faraon St , Saint Joseph MO 64506-3488. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Goodman, Douglas E can be contacted via phone (816) 271-6575.Contact Information
Primary practice address
5325 Faraon St
Saint Joseph MO 64506-3488
Phone: (816) 271-6575
Fax: (816) 271-6139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R6C87 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0432989 | Kansas |
Profile Details
| NPI number | 1043285596 |
|---|---|
| LBN Legal business name | Goodman, Douglas E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | May 23rd, 2008 - about 16 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 | 1043285596 | NPPES |
| Missouri | MEDICAID | 202192837 | |
| Missouri | Other | 35032011 | |
| Missouri | MEDICAID | 200334530A | |
| Missouri | Other | P00154639 | |
| Missouri | Other | 203405 |
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