Goodwin, Timothy B

Goodwin, Timothy B is an individual health care provider with primary practice located at 6801 Airport Blvd , Mobile AL 36608-3709. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Goodwin, Timothy B can be contacted via phone (800) 476-8646.

Contact Information

Primary practice address
6801 Airport Blvd Mobile AL 36608-3709
Fax: (919) 382-3210
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 16345 Alabama

Profile Details

NPI number 1669454948
LBN Legal business name Goodwin, Timothy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Feb 23rd, 2010 - about 15 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 1669454948 NPPES
Other 51088197 BCBS

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