Goodman, Peter Lewis

Goodman, Peter Lewis is an sole proprietor health care provider with primary practice located at 8220 Meadowbridge Rd Suite 301, Mechanicsville VA 23116-2336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Goodman, Peter Lewis can be contacted via phone (804) 559-0423.

Contact Information

Primary practice address
8220 Meadowbridge Rd Suite 301 Mechanicsville VA 23116-2336
Phone: (804) 559-0423
Fax: (804) 559-1260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101019253 Virginia

Profile Details

NPI number 1770546012
LBN Legal business name Goodman, Peter Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2006
Last updated Jul 6th, 2010 - about 16 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 1770546012 NPPES
Virginia MEDICAID 6022057

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