Goodman, George Allan

Goodman, George Allan is an individual health care provider with primary practice located at 2635 Cleveland Ave Ste 2, Santa Rosa CA 95403-2981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Goodman, George Allan can be contacted via phone (707) 575-4868.

Contact Information

Primary practice address
2635 Cleveland Ave Ste 2 Santa Rosa CA 95403-2981
Phone: (707) 575-4868
Fax: (707) 575-5870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C28957 California

Profile Details

NPI number 1487644811
LBN Legal business name Goodman, George Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 8th, 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 1487644811 NPPES
California MEDICAID 00C28970

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