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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1558306944 | NPPES |
Michigan | Other | 0C910950 | BCBSM |
Michigan | Other | 1417961137 | BCBSM |
Michigan | MEDICAID | 1558306944 | BCBSM |
Michigan | Other | 1104840529 | BCBSM |
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