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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407838832 NPPES
New Mexico MEDICAID 000Q4394
New Mexico Other 943270879

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