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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215051164 | NPPES |
| Connecticut | Other | 010016361CT01 | NON-PAR ANTHEM ID |
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