Goodman, Jonathan

Goodman, Jonathan is an individual health care provider with primary practice located at 13188 N 103Rd Dr Ste 206, Sun City AZ 85351-3064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goodman, Jonathan can be contacted via phone (623) 972-3001.

Contact Information

Primary practice address
13188 N 103Rd Dr Ste 206 Sun City AZ 85351-3064
Phone: (623) 972-3001
Fax: (623) 933-3045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33921 Arizona

Profile Details

NPI number 1902845134
LBN Legal business name Goodman, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 3rd, 2011 - about 13 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 1902845134 NPPES
Arizona MEDICAID 957912

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