Goodwin, Diane
Goodwin, Diane is an sole proprietor health care provider with primary practice located at 30 Shelburne Rd , Stamford CT 06902-3628. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Goodwin, Diane can be contacted via phone (203) 276-1000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 000205 | Connecticut |
Profile Details
| NPI number | 1053467605 |
|---|---|
| LBN Legal business name | Goodwin, Diane |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jan 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053467605 | NPPES |
| Connecticut | Other | 000205 | CT LICENSE |
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