Goodman, Jason Michael

Goodman, Jason Michael is an individual health care provider with primary practice located at 611 Sherman Ave E , Fort Atkinson WI 53538-1960. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Goodman, Jason Michael can be contacted via phone (920) 568-5000.

Contact Information

Primary practice address
611 Sherman Ave E Fort Atkinson WI 53538-1960
Phone: (920) 568-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 135084-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9634-33 Wisconsin

Profile Details

NPI number 1669013702
LBN Legal business name Goodman, Jason Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2019
Last updated Oct 7th, 2022 - about 4 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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