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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013960442 NPPES
Arkansas Other 100082220A OK MEDICAID
Arkansas MEDICAID 105795001 OK MEDICAID
Arkansas Other 51933 OK MEDICAID

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