Goodman, James S.
Goodman, James S. is an sole proprietor health care provider with primary practice located at 4001 Indian School Rd Ne Suite 305, Albuquerque NM 87110-3853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Goodman, James S. can be contacted via phone (505) 830-2900.Contact Information
Primary practice address
4001 Indian School Rd Ne Suite 305
Albuquerque NM 87110-3853
Phone: (505) 830-2900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 97-61 | New Mexico |
Profile Details
NPI number | 1407838832 |
---|---|
LBN Legal business name | Goodman, James S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 21st, 2005 |
Last updated | Mar 7th, 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 | 1407838832 | NPPES |
New Mexico | MEDICAID | 000Q4394 | |
New Mexico | Other | 943270879 |
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