Goodman, Steven B

Goodman, Steven B is an individual health care provider with primary practice located at 1250 Peach St Suite A, San Luis Obispo CA 93401-2837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Goodman, Steven B can be contacted via phone (805) 543-4043.

Contact Information

Primary practice address
1250 Peach St Suite A San Luis Obispo CA 93401-2837
Phone: (805) 543-4043
Fax: (805) 543-7640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G53215 California

Profile Details

NPI number 1295775328
LBN Legal business name Goodman, Steven B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 26th, 2015 - about 9 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 1295775328 NPPES
California Other CB235417 MEDICARE ID
California Other 00G532150 MEDICARE ID
California MEDICAID 00G532150 MEDICARE ID

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