Ethelynn A Goodin in Alexandria - Specialist
Ethelynn A Goodin - NPI 1093898025
Ethelynn A Goodin is a Specialist in Alexandria, Louisiana. Ethelynn A Goodin practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ethelynn A Goodin is 1093898025. The last update date is 2007-07-08.
Ethelynn A Goodin's current location address is 5920 Coliseum Blvd, Alexandria, Louisiana. You can contact this provider via phone number 3184439339 and fax number 3184439116. The mailing address for Ethelynn A Goodin is 5920 Coliseum Blvd, Alexandria, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethelynn A Goodin |
|---|---|
| Address | 5920 Coliseum Blvd, Alexandria, Louisiana |
| Phone Number | 3184439339 |
| Fax Number | 3184439116 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093898025 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5920 Coliseum Blvd |
|---|---|
| City | Alexandria |
| State | Louisiana (LA) |
| Post Code | 71303 |
| Phone Number | 3184439339 |
| Fax Number | 3184439116 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 04417R |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1199796 | LA | -- |
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What is the unique identifier code issued to Ethelynn A Goodin by the Centers for Medicare & Medicaid Services?
The Ethelynn A Goodin has been assigned the NPI (National Provider Identifier) 1093898025. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ethelynn A Goodin is geographically located?
The Ethelynn A Goodin is physically situated at the following location: 5920 Coliseum Blvd, Alexandria, LA, 71303.
What is Ethelynn A Goodin's area of expertise and its corresponding taxonomy classification?
The Ethelynn A Goodin's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1093898025 to Ethelynn A Goodin?
The Centers for Medicare & Medicaid Services assigned the 1093898025 to Ethelynn A Goodin on 2006-10-23.
When was the information regarding Ethelynn A Goodin most recently updated?
The details pertaining to the Ethelynn A Goodin, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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