Goodman, Michael William

Goodman, Michael William is an individual health care provider with primary practice located at 979 E 3Rd St Suite C0630, Chattanooga TN 37403-2136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Goodman, Michael William can be contacted via phone (423) 267-5677.

Contact Information

Primary practice address
979 E 3Rd St Suite C0630 Chattanooga TN 37403-2136
Phone: (423) 267-5677
Fax: (423) 267-6179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 015401 Tennessee
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 026122 Georgia

Profile Details

NPI number 1639171481
LBN Legal business name Goodman, Michael William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Aug 16th, 2010 - 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 1639171481 NPPES
Tennessee Other 192613 BLUE CROSS BLUE SHIELD OF
Tennessee MEDICAID 3006410 BLUE CROSS BLUE SHIELD OF
Tennessee Other 100005904 BLUE CROSS BLUE SHIELD OF
Tennessee Other 621553135003 BLUE CROSS BLUE SHIELD OF
Tennessee Other GT23445 BLUE CROSS BLUE SHIELD OF

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