Goodwin, Jason R.

Goodwin, Jason R. is an individual health care provider with primary practice located at 1236 E Elizabeth St Suite 1, Fort Collins CO 80524-4000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Goodwin, Jason R. can be contacted via phone (970) 224-2985.

Contact Information

Primary practice address
1236 E Elizabeth St Suite 1 Fort Collins CO 80524-4000
Phone: (970) 224-2985
Fax: (970) 472-9381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 121533 Colorado

Profile Details

NPI number 1124016399
LBN Legal business name Goodwin, Jason R.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Feb 18th, 2011 - about 13 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 1124016399 NPPES
Colorado MEDICAID 52909361
Colorado MEDICAID 117082100

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