Goodspeed, Tonya
Goodspeed, Tonya is an individual health care provider with primary practice located at 1201 Michigan Ave Suite 270, Logansport IN 46947-1580. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Goodspeed, Tonya can be contacted via phone (574) 722-4921.Contact Information
Primary practice address
1201 Michigan Ave Suite 270
Logansport IN 46947-1580
Phone: (574) 722-4921
Fax: (574) 739-0520
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 01052818A | Indiana |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01052818 | Indiana |
Profile Details
NPI number | 1558444133 |
---|---|
LBN Legal business name | Goodspeed, Tonya |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2006 |
Last updated | Mar 7th, 2024 - about 9 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558444133 | NPPES |
Indiana | MEDICAID | 200402320 | |
Indiana | Other | P01428204 | |
Indiana | Other | 000000915720 |
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