Goudy, William D

Goudy, William D is an individual health care provider with primary practice located at 1900 Carew St Ste 6 , Fort Wayne IN 46805-4765. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Goudy, William D can be contacted via phone (260) 266-2500.

Contact Information

Primary practice address
1900 Carew St Ste 6 Fort Wayne IN 46805-4765
Phone: (260) 266-2500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 02000673A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02000673A Indiana

Profile Details

NPI number 1568462935
LBN Legal business name Goudy, William D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jan 6th, 2023 - about 2 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 1568462935 NPPES
Indiana MEDICAID 100103820A
Indiana Other P00144540
Indiana Other 000000335961

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