Goodman, Robert L.
Goodman, Robert L. is an sole proprietor health care provider with primary practice located at 66 Morgan Rd , West Springfield MA 01089-1410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Goodman, Robert L. can be contacted via phone (413) 781-1576.Contact Information
Primary practice address
66 Morgan Rd
West Springfield MA 01089-1410
Phone: (413) 781-1576
Fax: (413) 785-1812
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 44739 | Massachusetts |
Profile Details
NPI number | 1487754156 |
---|---|
LBN Legal business name | Goodman, Robert L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 23rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1487754156 | NPPES |
Massachusetts | MEDICAID | 2079585 |
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