Goodwin, Christopher K

Goodwin, Christopher K is an individual health care provider with primary practice located at 2680 W Centre Ave , Portage MI 49024-4828. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Goodwin, Christopher K can be contacted via phone (269) 324-2400.

Contact Information

Primary practice address
2680 W Centre Ave Portage MI 49024-4828
Phone: (269) 324-2400
Fax: (269) 327-0450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40268 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40268 Kentucky

Profile Details

NPI number 1558306944
LBN Legal business name Goodwin, Christopher K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Nov 27th, 2023 - about 2 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 1558306944 NPPES
Michigan Other 0C910950 BCBSM
Michigan Other 1417961137 BCBSM
Michigan MEDICAID 1558306944 BCBSM
Michigan Other 1104840529 BCBSM

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