Goodman, Robert Emory
Goodman, Robert Emory is an individual health care provider with primary practice located at 740 Jordan St , Shreveport LA 71101-4616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Goodman, Robert Emory can be contacted via phone (318) 424-9240.Contact Information
Primary practice address
740 Jordan St
Shreveport LA 71101-4616
Phone: (318) 424-9240
Fax: (318) 424-0022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 15562 | Louisiana |
Profile Details
| NPI number | 1235111907 |
|---|---|
| LBN Legal business name | Goodman, Robert Emory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jul 14th, 2011 - about 14 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 | 1235111907 | NPPES |
| Louisiana | Other | 110043608 | RAILROAD MEDICARE |
| Louisiana | MEDICAID | 1348465 | RAILROAD MEDICARE |
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