Goody, Norman L
Goody, Norman L is an sole proprietor health care provider with primary practice located at 75-809 Keaolani Dr , Kailua Kona HI 96740. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Goody, Norman L can be contacted via phone (808) 987-6465.Contact Information
Primary practice address
75-809 Keaolani Dr
Kailua Kona HI 96740
Phone: (808) 987-6465
Fax: (877) 296-6734
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD-9108 | Hawaii |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | MD-9108 | Hawaii |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207LH0002X | MD-9108 | Hawaii |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | MD-9108 | Hawaii |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD-9108 | Hawaii |
Profile Details
NPI number | 1871765925 |
---|---|
LBN Legal business name | Goody, Norman L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 28th, 2008 |
Last updated | Sep 25th, 2020 - about 4 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 | 1871765925 | NPPES |
Hawaii | MEDICAID | 20619-3 | |
Hawaii | Other | 000D0206195 | |
Hawaii | Other | F55789 |
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