Goodman, Gerri L
Goodman, Gerri L is an individual health care provider with primary practice located at 160 Old Derby St Ste 451 , Hingham MA 02043-4062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Goodman, Gerri L can be contacted via phone (781) 534-3804.Contact Information
Primary practice address
160 Old Derby St Ste 451
Hingham MA 02043-4062
Phone: (781) 534-3804
Fax: (817) 749-5853
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 222192 | Massachusetts |
Profile Details
NPI number | 1942200043 |
---|---|
LBN Legal business name | Goodman, Gerri L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 29th, 2005 |
Last updated | Nov 28th, 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 | 1942200043 | NPPES |
Massachusetts | MEDICAID | 110075324A | |
Massachusetts | Other | J28395 |
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