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
Fax: (574) 739-0520
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558444133 NPPES
Indiana MEDICAID 200402320
Indiana Other P01428204
Indiana Other 000000915720

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