Goodwin, Stephen
Goodwin, Stephen is an individual health care provider with primary practice located at 1230 Amelia St , Orangeburg SC 29115-5478. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Goodwin, Stephen can be contacted via phone (803) 531-0061.Contact Information
Primary practice address
1230 Amelia St
Orangeburg SC 29115-5478
Phone: (803) 531-0061
Fax: (803) 531-0095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 584 | South Carolina |
Profile Details
| NPI number | 1952387490 |
|---|---|
| LBN Legal business name | Goodwin, Stephen |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1952387490 | NPPES |
| South Carolina | MEDICAID | DV5842 |
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