Goodman, Myron

Goodman, Myron is an individual health care provider with primary practice located at 1884 Berkshire Ln N , Plymouth MN 55441-3723. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Goodman, Myron can be contacted via phone (763) 559-5677.

Contact Information

Primary practice address
1884 Berkshire Ln N Plymouth MN 55441-3723
Phone: (763) 559-5677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302311 Minnesota

Profile Details

NPI number 1588959233
LBN Legal business name Goodman, Myron
Credentials MA LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2011
Last updated Jun 10th, 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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