Goodman, Isaac
Goodman, Isaac is an individual health care provider with primary practice located at 27 Park St Phs Provider Enrollment, Hyannis MA 02601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Goodman, Isaac can be contacted via phone (508) 862-5981.Contact Information
Primary practice address
27 Park St Phs Provider Enrollment
Hyannis MA 02601
Phone: (508) 862-5981
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ZS11047635M | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA4312 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 010886-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2016-0053 | New Mexico |
Profile Details
| NPI number | 1013929884 |
|---|---|
| LBN Legal business name | Goodman, Isaac |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Sep 18th, 2019 - about 7 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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