Goodman, Robert C

Goodman, Robert C is an sole proprietor health care provider with primary practice located at 10 Colonial Rd Ste 8 Colonial Office Park, Salem MA 01970-2947. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Goodman, Robert C can be contacted via phone (978) 744-4904.

Contact Information

Primary practice address
10 Colonial Rd Ste 8 Colonial Office Park Salem MA 01970-2947
Phone: (978) 744-4904
Fax: (978) 744-2589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1635 Massachusetts
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1635 Massachusetts

Profile Details

NPI number 1588698468
LBN Legal business name Goodman, Robert C
Credentials DPM PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Dec 28th, 2010 - about 15 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 1588698468 NPPES
Massachusetts MEDICAID 0341363

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