Goodwin, Charles Dru

Goodwin, Charles Dru is an individual health care provider with primary practice located at 500 E Main St Ste 102, Columbus OH 43215-5369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Goodwin, Charles Dru can be contacted via phone (614) 321-3701.

Contact Information

Primary practice address
500 E Main St Ste 102 Columbus OH 43215-5369
Phone: (614) 321-3701
Fax: (614) 259-6072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 35040957 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 35040957 Ohio

Profile Details

NPI number 1922107978
LBN Legal business name Goodwin, Charles Dru
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Dec 17th, 2017 - 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 1922107978 NPPES
Ohio MEDICAID 0336121

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