Goodman, Philllip
Goodman, Philllip is an sole proprietor health care provider with primary practice located at 204 Main Street Shop Ctr , Waterloo NY 13165-1454. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Goodman, Philllip can be contacted via phone (315) 539-1209.Contact Information
Primary practice address
204 Main Street Shop Ctr
Waterloo NY 13165-1454
Phone: (315) 539-1209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 010346 | New York |
Profile Details
| NPI number | 1760072896 |
|---|---|
| LBN Legal business name | Goodman, Philllip |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2021 |
| Last updated | Jan 22nd, 2021 - 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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