Goodman, Mason R

Goodman, Mason R is an individual health care provider with primary practice located at 1801 N Senate Blvd Ste 230 , Indianapolis IN 46202-1252. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goodman, Mason R can be contacted via phone (317) 962-5820.

Contact Information

Primary practice address
1801 N Senate Blvd Ste 230 Indianapolis IN 46202-1252
Fax: (317) 962-3916
Website:

Health care specialties

Profile Details

NPI number 1508848433
LBN Legal business name Goodman, Mason R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jun 14th, 2023 - about 2 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 1508848433 NPPES
Indiana Other 000000081345 BC/BS
Indiana Other 267030315 BC/BS
Indiana MEDICAID 100062950 BC/BS
Indiana Other 290006483 BC/BS
Indiana Other CI0473 BC/BS

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