Goodman, Charles Barry

Goodman, Charles Barry is an individual health care provider with primary practice located at 425 Lombard St , Thousand Oaks CA 91360-5898. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goodman, Charles Barry can be contacted via phone (805) 495-2735.

Contact Information

Primary practice address
425 Lombard St Thousand Oaks CA 91360-5898
Phone: (805) 495-2735
Fax: (805) 495-7406
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC17158 California

Profile Details

NPI number 1184773517
LBN Legal business name Goodman, Charles Barry
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 9th, 2007 - about 19 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 1184773517 NPPES
California Other DC0171580 BLUE SHIELD

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