Goodheart, Alia
Goodheart, Alia is an sole proprietor health care provider with primary practice located at 33 Nagog Park Ste 215 , Acton MA 01720-3427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Goodheart, Alia can be contacted via phone (508) 834-3183.Contact Information
Primary practice address
33 Nagog Park Ste 215
Acton MA 01720-3427
Phone: (508) 834-3183
Fax: (508) 532-1168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 220407 | Massachusetts |
Profile Details
| NPI number | 1134234198 |
|---|---|
| LBN Legal business name | Goodheart, Alia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Feb 5th, 2019 - about 7 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 | 1134234198 | NPPES |
| Massachusetts | Other | J27753 | BCBS OF MASSACHUSETTS |
| Massachusetts | Other | 469246 | BCBS OF MASSACHUSETTS |
| Massachusetts | MEDICAID | 2063981 | BCBS OF MASSACHUSETTS |
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