Goodwin, Mackenzie Lee

Goodwin, Mackenzie Lee is an individual health care provider with primary practice located at 1581 Dodd Dr Fl 1 , Columbus OH 43210-1257. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Goodwin, Mackenzie Lee can be contacted via phone (614) 293-2101.

Contact Information

Primary practice address
1581 Dodd Dr Fl 1 Columbus OH 43210-1257
Phone: (614) 293-2101
Fax: (614) 293-9155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 35136866 Ohio
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 11768709-1205 Utah

Profile Details

NPI number 1942569231
LBN Legal business name Goodwin, Mackenzie Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2012
Last updated Jul 5th, 2023 - about 2 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 1942569231 NPPES
Ohio MEDICAID 0365561

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