Goodman, Harris Michael

Goodman, Harris Michael is an individual health care provider with primary practice located at 1541 Florida Ave Ste 200, Modesto CA 95350-4429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Goodman, Harris Michael can be contacted via phone (209) 577-3388.

Contact Information

Primary practice address
1541 Florida Ave Ste 200 Modesto CA 95350-4429
Phone: (209) 577-3388
Fax: (209) 523-0764
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G19278 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X G19278 California

Profile Details

NPI number 1215925771
LBN Legal business name Goodman, Harris Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 29th, 2011 - about 15 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 1215925771 NPPES
California Other CD169Z INDIVIDUAL PTAN - MEDICARE
California Other ZZZ48224Z INDIVIDUAL PTAN - MEDICARE
California Other 020018719 INDIVIDUAL PTAN - MEDICARE
California Other CD069A INDIVIDUAL PTAN - MEDICARE

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