Good, Robert G
Good, Robert G is an individual health care provider with primary practice located at 200 Lerna Road South , Mattoon IL 61938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Good, Robert G can be contacted via phone (217) 258-5900.Contact Information
Primary practice address
200 Lerna Road South
Mattoon IL 61938
Phone: (217) 258-5900
Fax: (217) 258-3686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036091669 | Illinois |
Profile Details
| NPI number | 1639122922 |
|---|---|
| LBN Legal business name | Good, Robert G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jun 11th, 2012 - about 14 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 | 1639122922 | NPPES |
| Illinois | MEDICAID | 036091669 |
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