Godwin, Brooks A
Godwin, Brooks A is an individual health care provider with primary practice located at 315 W Georgia Rd , Simpsonville SC 29681-2401. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Godwin, Brooks A can be contacted via phone (864) 963-3601.Contact Information
Primary practice address
315 W Georgia Rd
Simpsonville SC 29681-2401
Phone: (864) 963-3601
Fax: (864) 963-2598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3465 | South Carolina |
Profile Details
| NPI number | 1518941434 |
|---|---|
| LBN Legal business name | Godwin, Brooks A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518941434 | NPPES |
| Other | 1363833 | UNITED CONCORDIA INS |
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