Goodman, Jesse Lee

Goodman, Jesse Lee is an sole proprietor health care provider with primary practice located at 1515 Ne Lawrie Tatum Rd , Lawton OK 73507-3002. 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, Jesse Lee can be contacted via phone (580) 354-5100.

Contact Information

Primary practice address
1515 Ne Lawrie Tatum Rd Lawton OK 73507-3002
Phone: (580) 354-5100
Fax: (580) 354-5105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2244 Oklahoma

Profile Details

NPI number 1699843342
LBN Legal business name Goodman, Jesse Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Apr 16th, 2013 - about 13 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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