Goodwin, Stacie Marie

Goodwin, Stacie Marie is an individual health care provider with primary practice located at 1460 Coneross Point Dr , Seneca SC 29678-5908. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Goodwin, Stacie Marie can be contacted via phone (208) 989-9487.

Contact Information

Primary practice address
1460 Coneross Point Dr Seneca SC 29678-5908
Phone: (208) 989-9487
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 5551 South Carolina

Profile Details

NPI number 1427755784
LBN Legal business name Goodwin, Stacie Marie
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2023
Last updated Feb 7th, 2023 - about 2 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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