Goodwin, Matthew Lawrence

Goodwin, Matthew Lawrence is an individual health care provider with primary practice located at 4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6A/6B/12A, Saint Louis MO 63110-1032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Goodwin, Matthew Lawrence can be contacted via phone (314) 747-2551.

Contact Information

Primary practice address
4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6A/6B/12A Saint Louis MO 63110-1032
Phone: (314) 747-2551
Fax: (314) 747-2598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2019022449 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 2019022449 Missouri

Profile Details

NPI number 1770927337
LBN Legal business name Goodwin, Matthew Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2013
Last updated Apr 25th, 2024 - about last year

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 1770927337 NPPES
Missouri MEDICAID 200072631

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