Hadden F Goodman in Alpine - Physician Assistant

Hadden F Goodman - NPI 1942493630

Hadden F Goodman is a Physician Assistant in Alpine, . Hadden F Goodman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Hadden F Goodman is 1942493630. The last update date is 2012-04-24.

Hadden F Goodman's current location address is P.o. Box 3047, Alpine, . You can contact this provider via phone number 3076547138 and fax number 3076547201. The mailing address for Hadden F Goodman is P.o. Box 3047, Alpine, . To know further, please read the information below!

Provider Profile Detail

Provider Name Hadden F Goodman
Address P.o. Box 3047, Alpine,
Phone Number 3076547138
Fax Number 3076547201
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1942493630
Provider Enumeration Date 2007-08-25
Last Updated Date 2012-04-24

Provider Mailing Address Detail

Address P.o. Box 3047
City Alpine
State (WY)
Post Code 83128
Phone Number 3076547138
Fax Number 3076547201

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No WY433
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
605960009 WY USDLAB

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FAQs about Hadden F Goodman

What is the unique provider identifier assigned to Hadden F Goodman?

The Hadden F Goodman has been issued the NPI (National Provider Identifier) 1942493630 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Hadden F Goodman?

The Hadden F Goodman is situated at P.O. Box 3047, in the city of Alpine, state of WY, with the zip code 83128.

What is the Hadden F Goodman's area of specialization and corresponding taxonomy classification?

The Hadden F Goodman's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date did Hadden F Goodman receive its 1942493630 assignment from the Centers for Medicare & Medicaid Services?

The Hadden F Goodman was assigned its 1942493630 on 2007-08-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Hadden F Goodman's details last updated?

The information pertaining to the Hadden F Goodman, including its address, specialty, and other details, was most recently updated on 2012-04-24.

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