Brian Lawrence Goodwin in White Lake - Podiatrist

Brian Lawrence Goodwin - NPI 1124027321

Brian Lawrence Goodwin is a Podiatrist in White Lake, Michigan. Brian Lawrence Goodwin practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Brian Lawrence Goodwin is 1124027321. The last update date is 2016-04-21.

Brian Lawrence Goodwin's current location address is 8175 Carpathian Dr, White Lake, Michigan. You can contact this provider via phone number 2488605769. The mailing address for Brian Lawrence Goodwin is 8175 Carpathian Dr, White Lake, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Lawrence Goodwin
Address 8175 Carpathian Dr, White Lake, Michigan
Phone Number 2488605769
Fax Number
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1124027321
Provider Enumeration Date 2005-07-19
Last Updated Date 2016-04-21

Provider Mailing Address Detail

Address 8175 Carpathian Dr
City White Lake
State Michigan (MI)
Post Code 483864554
Phone Number 2488605769
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 5901400156
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1906797 MI --
485505278 BX
4661520001 DMERK

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FAQs about Brian Lawrence Goodwin

What is the unique 10-digit identification code issued to Brian Lawrence Goodwin by the Centers for Medicare & Medicaid Services?

The Brian Lawrence Goodwin has been assigned the NPI (National Provider Identifier) 1124027321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Brian Lawrence Goodwin's facilities are situated?

The facilities of Brian Lawrence Goodwin are physically located at the following address: 8175 Carpathian Dr, White Lake, MI, 483864554.

What is the Brian Lawrence Goodwin's area of specialization and corresponding taxonomy classification?

The Brian Lawrence Goodwin's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.

On what date did the Brian Lawrence Goodwin receive the assignment of its 1124027321 from the Centers for Medicare & Medicaid Services?

The Brian Lawrence Goodwin was issued its 1124027321 by the Centers for Medicare & Medicaid Services on 2005-07-19.

When was the information regarding Brian Lawrence Goodwin most recently updated?

The details pertaining to the Brian Lawrence Goodwin, including its address, specialty, and other relevant information, were last refreshed on 2016-04-21.

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