Goodwin, Christine Martinez

Goodwin, Christine Martinez is an individual health care provider with primary practice located at 605 Randolph Rd , Fort Sill OK 73503-4535. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Goodwin, Christine Martinez can be contacted via phone (580) 442-5925.

Contact Information

Primary practice address
605 Randolph Rd Fort Sill OK 73503-4535
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1750046710
LBN Legal business name Goodwin, Christine Martinez
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2021
Last updated Nov 4th, 2021 - about 4 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 1750046710 NPPES
Florida Other DH26493 RDH LICENSE

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