Goodell, Thomas Perry

Goodell, Thomas Perry is an individual health care provider with primary practice located at 400 Benedicta Ave , Trinidad CO 81082-2099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Goodell, Thomas Perry can be contacted via phone (719) 846-2206.

Contact Information

Primary practice address
400 Benedicta Ave Trinidad CO 81082-2099
Phone: (719) 846-2206
Fax: (719) 845-0663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6971A Wyoming
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46411 Colorado

Profile Details

NPI number 1639266950
LBN Legal business name Goodell, Thomas Perry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Apr 10th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639266950 NPPES
Colorado MEDICAID 822753335
Colorado MEDICAID 119222100

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