Gooden, Michael Allen

Gooden, Michael Allen is an individual health care provider with primary practice located at 101 3Rd Ave Sw , Minot ND 58701-3880. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Gooden, Michael Allen can be contacted via phone (701) 857-5764.

Contact Information

Primary practice address
101 3Rd Ave Sw Minot ND 58701-3880
Phone: (701) 857-5764
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 22434 West Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 20030588 New Mexico
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 22434 West Virginia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 15311 North Dakota

Profile Details

NPI number 1598756595
LBN Legal business name Gooden, Michael Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Apr 13th, 2023 - about 3 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 1598756595 NPPES
West Virginia Other 001881734 BCBS
West Virginia MEDICAID 3810006149 BCBS

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