Goodwin-Capers, Fareedah Z

Goodwin-Capers, Fareedah Z is an individual health care provider with primary practice located at 1950 Niles Cortland Rd Ne Ste 7, Warren OH 44484-1077. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Goodwin-Capers, Fareedah Z can be contacted via phone (330) 856-7702.

Contact Information

Primary practice address
1950 Niles Cortland Rd Ne Ste 7 Warren OH 44484-1077
Fax: (330) 856-1096
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35085291 Ohio

Profile Details

NPI number 1952380966
LBN Legal business name Goodwin-Capers, Fareedah Z
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Oct 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952380966 NPPES
Ohio Other H318260 MEDICARE PTAN
Ohio MEDICAID 2597935 MEDICARE PTAN

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