Goodwin, Michael J

Goodwin, Michael J is an individual health care provider with primary practice located at 619 19Th Street South , Birmingham AL 35233. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Goodwin, Michael J can be contacted via phone (205) 934-4011.

Contact Information

Primary practice address
619 19Th Street South Birmingham AL 35233
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 239 Alabama

Profile Details

NPI number 1619913845
LBN Legal business name Goodwin, Michael J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 16th, 2013 - about 11 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 1619913845 NPPES
Alabama MEDICAID 009942945
Alabama MEDICAID 009932433
Alabama Other 051529670
Alabama Other 051520055

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