Goos, Samuel D

Goos, Samuel D is an individual health care provider with primary practice located at 54 Baker Avenue Ext Ste 302 , Concord MA 01742-2137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Goos, Samuel D can be contacted via phone (978) 371-7010.

Contact Information

Primary practice address
54 Baker Avenue Ext Ste 302 Concord MA 01742-2137
Fax: (978) 371-0522
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 56678 Massachusetts

Profile Details

NPI number 1548240039
LBN Legal business name Goos, Samuel D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jan 24th, 2022 - about 2 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 1548240039 NPPES
Massachusetts Other 5763 HEALTHSOURCE
Massachusetts Other 8150 HEALTHSOURCE
Massachusetts Other 070015454 HEALTHSOURCE
Massachusetts Other J07521 HEALTHSOURCE
Massachusetts Other 056678 HEALTHSOURCE
Massachusetts Other 4126119 HEALTHSOURCE
Massachusetts Other 0009289 HEALTHSOURCE
Massachusetts Other 4293 HEALTHSOURCE

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