Goodman, Stephen Randall
Goodman, Stephen Randall is an sole proprietor health care provider with primary practice located at 328 Tamiami Trl S Ste A , Venice FL 34285-2434. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Goodman, Stephen Randall can be contacted via phone (941) 485-5797.Contact Information
Primary practice address
328 Tamiami Trl S Ste A
Venice FL 34285-2434
Phone: (941) 485-5797
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA55323 | Florida |
Profile Details
| NPI number | 1750518007 |
|---|---|
| LBN Legal business name | Goodman, Stephen Randall |
| Credentials | MASSAGE THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2009 |
| Last updated | Jun 14th, 2009 - about 16 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 | 1750518007 | NPPES |
| Florida | Other | MA55323 | BLUE CROSS BLUE SHIELD OF FLORIDA |
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