Goodwin, Brian Lawrence
Goodwin, Brian Lawrence is an sole proprietor health care provider with primary practice located at 4737 24 Mile Rd Suite 2, Shelby Township MI 48316-3148. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Goodwin, Brian Lawrence can be contacted via phone (248) 651-0008.Contact Information
Primary practice address
4737 24 Mile Rd Suite 2
Shelby Township MI 48316-3148
Phone: (248) 651-0008
Fax: (248) 651-6988
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 5901400156 | Michigan |
Profile Details
NPI number | 1124027321 |
---|---|
LBN Legal business name | Goodwin, Brian Lawrence |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 19th, 2005 |
Last updated | Apr 21st, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124027321 | NPPES |
Michigan | MEDICAID | 1906797 | |
Michigan | Other | 485505278 | |
Michigan | Other | 4661520001 |
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