Goodman, Dale A.
Goodman, Dale A. is an sole proprietor health care provider with primary practice located at 1007 Lincolnway , La Porte IN 46350-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Goodman, Dale A. can be contacted via phone (219) 326-1234.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01041200 | Indiana |
Profile Details
| NPI number | 1518052158 |
|---|---|
| LBN Legal business name | Goodman, Dale A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jun 22nd, 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 | 1518052158 | NPPES |
| Indiana | Other | 000000191669 | ANTHEM PROVIDER NUMBER |
| Indiana | Other | 050027208 | ANTHEM PROVIDER NUMBER |
| Indiana | MEDICAID | 100165370A | ANTHEM PROVIDER NUMBER |
Popular Providers
-
Puranik, Chetan
504 Legacy Plz W , La Porte IN 46350-5254 -
Tsyganov, Igor V
2401 Bay Ave , Ocean City NJ 08226-2456 -
Sirugo, Linda S
1007 Lincolnway , La Porte IN 46350-3201 -
Brooks, Jeffrey C
2900 Lamb Cir Ste 340, Christiansburg VA 24073-6344 -
Depper, Jane A.
1100 Central Ave Se , Albuquerque NM 87106-4930 -
Dickinson, William A
200 Hawkins Dr , Iowa City IA 52242-1009 -
Peck, Randall J
1 Taylor Ave , Pearisburg VA 24134-1932 -
Mislenkov, Tommy
800 Lincolnway Suite 301, La Porte IN 46350-3438