Goodenough, Roger R
Goodenough, Roger R is an individual health care provider with primary practice located at 998 S Dorset Rd Suite 301, Troy OH 45373-4753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Goodenough, Roger R can be contacted via phone (937) 339-5441.Contact Information
Primary practice address
998 S Dorset Rd Suite 301
Troy OH 45373-4753
Phone: (937) 339-5441
Fax: (937) 339-6668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35031589 | Ohio |
Profile Details
| NPI number | 1982671434 |
|---|---|
| LBN Legal business name | Goodenough, Roger R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Nov 5th, 2009 - about 17 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 | 1982671434 | NPPES |
| Ohio | MEDICAID | 0122030 |
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