Goodwin, Stephen Chas

Goodwin, Stephen Chas is an individual health care provider with primary practice located at 7 Independence Pt Ste 300 , Greenville SC 29615-4569. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Goodwin, Stephen Chas can be contacted via phone (864) 522-3700.

Contact Information

Primary practice address
7 Independence Pt Ste 300 Greenville SC 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 83 South Carolina

Profile Details

NPI number 1043865272
LBN Legal business name Goodwin, Stephen Chas
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Dec 28th, 2021 - about 3 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 1043865272 NPPES
South Carolina MEDICAID NAN167

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