Goodwin, Thomas A

Goodwin, Thomas A is an individual health care provider with primary practice located at 8088 Vineyard Pkwy , Kalamazoo MI 49009-3892. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Goodwin, Thomas A can be contacted via phone (269) 286-7090.

Contact Information

Primary practice address
8088 Vineyard Pkwy Kalamazoo MI 49009-3892
Phone: (269) 286-7090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 5101015999 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101015999 Michigan

Profile Details

NPI number 1568481448
LBN Legal business name Goodwin, Thomas A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 27th, 2022 - 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 1568481448 NPPES
Michigan Other 1598712390 GROUP NPI
Michigan Other 0854111605 GROUP NPI
Michigan MEDICAID 4898142 GROUP NPI

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