Goodman, Joseph Jay
Goodman, Joseph Jay is an individual health care provider with primary practice located at 5150 N Port Washington Rd Suite 151, Milwaukee WI 53217-5474. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Goodman, Joseph Jay can be contacted via phone (414) 332-1000.Contact Information
Primary practice address
5150 N Port Washington Rd Suite 151
Milwaukee WI 53217-5474
Phone: (414) 332-1000
Fax: (414) 332-1005
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 17918 | Wisconsin |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 17918 | Wisconsin |
Profile Details
NPI number | 1841299773 |
---|---|
LBN Legal business name | Goodman, Joseph Jay |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2005 |
Last updated | Sep 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841299773 | NPPES |
Wisconsin | MEDICAID | 32705400 |
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