Goodwin, Katherine A
Goodwin, Katherine A is an individual health care provider with primary practice located at 2231 Jordan Ave , Juneau AK 99801-8050. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goodwin, Katherine A can be contacted via phone (907) 789-1812.Contact Information
Primary practice address
2231 Jordan Ave
Juneau AK 99801-8050
Phone: (907) 789-1812
Fax: (907) 789-7168
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 786627 | Alaska |
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 786627 | Alaska |
Profile Details
NPI number | 1821047226 |
---|---|
LBN Legal business name | Goodwin, Katherine A |
Credentials | ANP CNM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Oct 26th, 2007 - about 17 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 | 1821047226 | NPPES |
Alaska | MEDICAID | NE78661 |
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