Goodsell, Blair T
Goodsell, Blair T is an individual health care provider with primary practice located at 302 El Camino Real Suite 5, Sierra Vista AZ 85635-2860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Goodsell, Blair T can be contacted via phone (520) 459-3920.Contact Information
Primary practice address
302 El Camino Real Suite 5
Sierra Vista AZ 85635-2860
Phone: (520) 459-3920
Fax: (520) 452-2218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2298 | Arizona |
Profile Details
| NPI number | 1811917297 |
|---|---|
| LBN Legal business name | Goodsell, Blair T |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jun 9th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811917297 | NPPES |
| Arizona | MEDICAID | 280214 |
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