Goodman, Raymond C.
Goodman, Raymond C. is an individual health care provider with primary practice located at 7001 Rogers Ave Suite 200, Fort Smith AR 72903-4073. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Goodman, Raymond C. can be contacted via phone (479) 314-4620.Contact Information
Primary practice address
7001 Rogers Ave Suite 200
Fort Smith AR 72903-4073
Phone: (479) 314-4620
Fax: (479) 314-4629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C4716 | Arkansas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | C-4716 | Arkansas |
Profile Details
| NPI number | 1013960442 |
|---|---|
| LBN Legal business name | Goodman, Raymond C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Dec 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013960442 | NPPES |
| Arkansas | Other | 100082220A | OK MEDICAID |
| Arkansas | MEDICAID | 105795001 | OK MEDICAID |
| Arkansas | Other | 51933 | OK MEDICAID |
Popular Providers
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