Goodman, Judie R.

Goodman, Judie R. is an individual health care provider with primary practice located at Iha Hematology Oncology Oakland 44405 Woodward Avenue, Suite 202, Pontiac MI 48341-5023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Goodman, Judie R. can be contacted via phone (248) 858-2270.

Contact Information

Primary practice address
Iha Hematology Oncology Oakland 44405 Woodward Avenue, Suite 202 Pontiac MI 48341-5023
Phone: (248) 858-2270
Fax: (248) 335-6171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X JG007915 Michigan
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 5101007915 Michigan

Profile Details

NPI number 1003852732
LBN Legal business name Goodman, Judie R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Sep 28th, 2022 - about 3 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 1003852732 NPPES
Michigan MEDICAID 112933190

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