Goodman, Carl G

Goodman, Carl G is an individual health care provider with primary practice located at 1455 E Bert Kouns Loop , Shreveport LA 71105-5634. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Other Service Providers / Specialist is his primary health care specialty. Goodman, Carl G can be contacted via phone (318) 798-4623.

Contact Information

Primary practice address
1455 E Bert Kouns Loop Shreveport LA 71105-5634
Phone: (318) 798-4623
Fax: (318) 798-4646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 009524 Louisiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 009524 Louisiana

Profile Details

NPI number 1346244290
LBN Legal business name Goodman, Carl G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 11th, 2020 - about 5 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 1346244290 NPPES
Louisiana MEDICAID 1095699
Louisiana Other 200020143
Louisiana Other 1053315846

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