Goolsby, James P

Goolsby, James P is an individual health care provider with primary practice located at 407 S Schwartz Ave Suite 101, Farmington NM 87401-5925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Goolsby, James P can be contacted via phone (505) 609-6770.

Contact Information

Primary practice address
407 S Schwartz Ave Suite 101 Farmington NM 87401-5925
Phone: (505) 609-6770
Fax: (505) 609-6775
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X F2691 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD2004-0655 New Mexico

Profile Details

NPI number 1811998529
LBN Legal business name Goolsby, James P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated May 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811998529 NPPES
Other 110043155 RAILROAD MEDICARE
Other 048690 RAILROAD MEDICARE
MEDICAID 1238776-03 RAILROAD MEDICARE
MEDICAID 47989351 RAILROAD MEDICARE
Other 722439 RAILROAD MEDICARE
Other 78756-A014 RAILROAD MEDICARE
Other 881627 RAILROAD MEDICARE

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