Goodwin, Robert Allen

Goodwin, Robert Allen is an sole proprietor health care provider with primary practice located at 1838 El Camino Real Ste 220 , Burlingame CA 94010-3110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Goodwin, Robert Allen can be contacted via phone (650) 697-3697.

Contact Information

Primary practice address
1838 El Camino Real Ste 220 Burlingame CA 94010-3110
Phone: (650) 697-3697
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G25784 California

Profile Details

NPI number 1861523789
LBN Legal business name Goodwin, Robert Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861523789 NPPES
California MEDICAID OG257840

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