Goodwin, Peter David

Goodwin, Peter David is an individual health care provider with primary practice located at 580 S Loop Rd , Edgewood KY 41017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Goodwin, Peter David can be contacted via phone (859) 301-6000.

Contact Information

Primary practice address
580 S Loop Rd Edgewood KY 41017
Phone: (859) 301-6000
Fax: (859) 301-6010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 16868 Kentucky

Profile Details

NPI number 1609877547
LBN Legal business name Goodwin, Peter David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Sep 13th, 2018 - about 7 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 1609877547 NPPES
Indiana MEDICAID 200916660
Indiana MEDICAID 64055916
Indiana MEDICAID 0255745

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