Goodson, Bruce Michael
Goodson, Bruce Michael is an sole proprietor health care provider with primary practice located at 1251 16Th St Ne , Hickory NC 28601-4261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Goodson, Bruce Michael can be contacted via phone (828) 322-7700.Contact Information
Primary practice address
1251 16Th St Ne
Hickory NC 28601-4261
Phone: (828) 322-7700
Fax: (828) 256-6720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38068 | North Carolina |
Profile Details
| NPI number | 1366403578 |
|---|---|
| LBN Legal business name | Goodson, Bruce Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Aug 16th, 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 | 1366403578 | NPPES |
| North Carolina | MEDICAID | 8936226 |
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