Goodman, Perry Jay

Goodman, Perry Jay is an individual health care provider with primary practice located at 2300 12Th St , Meridian MS 39301-3933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Goodman, Perry Jay can be contacted via phone (601) 483-2616.

Contact Information

Primary practice address
2300 12Th St Meridian MS 39301-3933
Phone: (601) 483-2616
Fax: (601) 485-7282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 14964 Mississippi

Profile Details

NPI number 1336247089
LBN Legal business name Goodman, Perry Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1336247089 NPPES
Mississippi MEDICAID 00011750
Mississippi Other 14964

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