Goodwin, Glenda Darlene
Goodwin, Glenda Darlene is an sole proprietor health care provider with primary practice located at 1106 Windfield Way Suite 2, El Dorado Hills CA 95762-9360. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Goodwin, Glenda Darlene can be contacted via phone (916) 941-6500.Contact Information
Primary practice address
1106 Windfield Way Suite 2
El Dorado Hills CA 95762-9360
Phone: (916) 941-6500
Fax: (916) 691-4300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A71660 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | A71660 | California |
Profile Details
| NPI number | 1184685141 |
|---|---|
| LBN Legal business name | Goodwin, Glenda Darlene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Apr 19th, 2013 - about 12 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 | 1184685141 | NPPES |
| California | MEDICAID | 00A716600 |
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