Goodwin, Amanda M

Goodwin, Amanda M is an individual health care provider with primary practice located at 5483 Gratiot Road , Saginaw MI 48638-6037. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Goodwin, Amanda M can be contacted via phone (989) 799-5557.

Contact Information

Primary practice address
5483 Gratiot Road Saginaw MI 48638-6037
Phone: (989) 799-5557
Fax: (989) 799-2840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AG004842 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004842 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601004842 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601004842 Michigan

Profile Details

NPI number 1396754404
LBN Legal business name Goodwin, Amanda M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Mar 26th, 2021 - about 3 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 1396754404 NPPES
Other 200G311050 BCBS GROUP

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