Goodwin, Robert Clare

Goodwin, Robert Clare is an sole proprietor health care provider with primary practice located at 1726 Ellington Rd , South Windsor CT 06074-2739. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Other Service Providers / Specialist is his primary health care specialty. Goodwin, Robert Clare can be contacted via phone (860) 644-9191.

Contact Information

Primary practice address
1726 Ellington Rd South Windsor CT 06074-2739
Phone: (860) 644-9191
Fax: (860) 644-9191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 16361 Connecticut
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 016361 Connecticut

Profile Details

NPI number 1215051164
LBN Legal business name Goodwin, Robert Clare
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2007
Last updated Oct 31st, 2013 - about 12 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 1215051164 NPPES
Connecticut Other 010016361CT01 NON-PAR ANTHEM ID

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