Goodman, Fred L

Goodman, Fred L is an individual health care provider with primary practice located at Marine Corps Air Station, Building 1175 Box 99116, Yuma AZ 85369-9116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Goodman, Fred L can be contacted via phone (928) 269-6091.

Contact Information

Primary practice address
Marine Corps Air Station, Building 1175 Box 99116 Yuma AZ 85369-9116
Phone: (928) 269-6091
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0074276 Florida

Profile Details

NPI number 1700877628
LBN Legal business name Goodman, Fred L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 8th, 2007 - about 18 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 1700877628 NPPES
Florida Other ME0074276 MEDICAL LICENSE

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