Goodney, Philip Paul
Goodney, Philip Paul is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Goodney, Philip Paul can be contacted via phone (603) 650-8191.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-1000
Phone: (603) 650-8191
Fax: (603) 650-4973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 11193 | New Hampshire |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 11193 | New Hampshire |
Profile Details
| NPI number | 1821193434 |
|---|---|
| LBN Legal business name | Goodney, Philip Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Aug 1st, 2011 - about 13 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 | 1821193434 | NPPES |
| Vermont | MEDICAID | 1014962 | |
| Vermont | MEDICAID | 30207726 |
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