Goodwin, Timothy

Goodwin, Timothy is an individual health care provider with primary practice located at 392 E 12300 S Ste C , Draper UT 84020-8043. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Goodwin, Timothy can be contacted via phone (801) 523-8700.

Contact Information

Primary practice address
392 E 12300 S Ste C Draper UT 84020-8043
Fax: (801) 523-8191
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 3583261202 Utah

Profile Details

NPI number 1447321237
LBN Legal business name Goodwin, Timothy
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 9th, 2007 - about 17 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 1447321237 NPPES
Utah Other 3583261202 STATE LICENSE

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