Mark Thomas Goodman in Bremerton - Chiropractor
Mark Thomas Goodman - NPI 1912186412
Mark Thomas Goodman is a Chiropractor in Bremerton, Washington. Mark Thomas Goodman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark Thomas Goodman is 1912186412. The last update date is 2020-04-16.
Mark Thomas Goodman's current location address is 3421 Kitsap Way, Bremerton, Washington. You can contact this provider via phone number 3603771626 and fax number 3603771903. The mailing address for Mark Thomas Goodman is 3421 Kitsap Way, Bremerton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Thomas Goodman |
|---|---|
| Address | 3421 Kitsap Way, Bremerton, Washington |
| Phone Number | 3603771626 |
| Fax Number | 3603771903 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1912186412 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2020-04-16 |
Provider Mailing Address Detail
| Address | 3421 Kitsap Way |
|---|---|
| City | Bremerton |
| State | Washington (WA) |
| Post Code | 983122601 |
| Phone Number | 3603771626 |
| Fax Number | 3603771903 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00002820 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42155 | WA | DEPT. LABOR & INDUS. (WA) | |
| 383670039 | WA | PREMERA BLUE CROSS | |
| 38367003901 | WA | KITSAP PHYSICIANS SERVICE | |
| G06107 | WA | REGENCE BLUE SHIELD | |
| 383670039 | WA | GENERAL INSURANCES |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Thomas Goodman by the Centers for Medicare & Medicaid Services?
The Mark Thomas Goodman has been assigned the NPI (National Provider Identifier) 1912186412 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mark Thomas Goodman is located?
The Mark Thomas Goodman is situated at the following address: 3421 Kitsap Way, Bremerton, WA, 983122601.
What is Mark Thomas Goodman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Thomas Goodman's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912186412 to Mark Thomas Goodman?
The Centers for Medicare & Medicaid Services assigned the 1912186412 to Mark Thomas Goodman on 2007-10-31.
As of what date were the Mark Thomas Goodman's details last updated?
The information pertaining to the Mark Thomas Goodman, including its address, specialty, and other details, was most recently updated on 2020-04-16.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC