Goodpasture, John E

Goodpasture, John E is an sole proprietor health care provider with primary practice located at 1955 W Frye Rd , Chandler AZ 85224-6282. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Goodpasture, John E can be contacted via phone (480) 728-3000.

Contact Information

Primary practice address
1955 W Frye Rd Chandler AZ 85224-6282
Phone: (480) 728-3000
Fax: (480) 507-2971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X E2578 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 47111 Arizona

Profile Details

NPI number 1124019161
LBN Legal business name Goodpasture, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Oct 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124019161 NPPES
Arizona MEDICAID 829085
Arizona MEDICAID 157212501

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