Goodpasture, John E
Goodpasture, John E is an sole proprietor health care provider with primary practice located at 1955 W Frye Rd , Chandler AZ 85224-6282. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Goodpasture, John E can be contacted via phone (480) 728-3000.Contact Information
Primary practice address
1955 W Frye Rd
Chandler AZ 85224-6282
Phone: (480) 728-3000
Fax: (480) 507-2971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | E2578 | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 47111 | Arizona |
Profile Details
| NPI number | 1124019161 |
|---|---|
| LBN Legal business name | Goodpasture, John E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Oct 28th, 2013 - about 12 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 | 1124019161 | NPPES |
| Arizona | MEDICAID | 829085 | |
| Arizona | MEDICAID | 157212501 |
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