Goderwis, Douglas

Goderwis, Douglas is an individual health care provider with primary practice located at 7300 Turfway Rd , Florence KY 41042-1375. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goderwis, Douglas can be contacted via phone (859) 212-4700.

Contact Information

Primary practice address
7300 Turfway Rd Florence KY 41042-1375
Phone: (859) 212-4700
Fax: (859) 212-4761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27947 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27947 Kentucky

Profile Details

NPI number 1760439095
LBN Legal business name Goderwis, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated May 2nd, 2024 - 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 1760439095 NPPES
Ohio MEDICAID 0723542
Ohio MEDICAID 64279474

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