Goody, Norman L

Goody, Norman L is an sole proprietor health care provider with primary practice located at 75-809 Keaolani Dr , Kailua Kona HI 96740. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Goody, Norman L can be contacted via phone (808) 987-6465.

Contact Information

Primary practice address
75-809 Keaolani Dr Kailua Kona HI 96740
Phone: (808) 987-6465
Fax: (877) 296-6734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD-9108 Hawaii
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X MD-9108 Hawaii
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207LH0002X MD-9108 Hawaii
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD-9108 Hawaii
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD-9108 Hawaii

Profile Details

NPI number 1871765925
LBN Legal business name Goody, Norman L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2008
Last updated Sep 25th, 2020 - about 6 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 1871765925 NPPES
Hawaii MEDICAID 20619-3
Hawaii Other 000D0206195
Hawaii Other F55789

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