Goodman, Eric Michael

Goodman, Eric Michael is an individual health care provider with primary practice located at 580 Court St , Keene NH 03431-1718. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Goodman, Eric Michael can be contacted via phone (603) 354-5400.

Contact Information

Primary practice address
580 Court St Keene NH 03431-1718
Phone: (603) 354-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 047780-23-02 New Hampshire

Profile Details

NPI number 1710028360
LBN Legal business name Goodman, Eric Michael
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Oct 18th, 2023 - about 2 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 1710028360 NPPES
New Hampshire MEDICAID 30340964

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