Goodman, David Aaron

Goodman, David Aaron is an individual health care provider with primary practice located at 108 W Tyler Ave , West Memphis AR 72301-4221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Goodman, David Aaron can be contacted via phone (870) 732-1191.

Contact Information

Primary practice address
108 W Tyler Ave West Memphis AR 72301-4221
Phone: (870) 732-1191
Fax: (870) 732-4091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-0948 Arkansas

Profile Details

NPI number 1922009026
LBN Legal business name Goodman, David Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 21st, 2016 - about 9 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 1922009026 NPPES
Arkansas MEDICAID 129454001

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