Godwin, Gene

Godwin, Gene is an individual health care provider with primary practice located at 2102 W Main St , Salem VA 24153-3129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Godwin, Gene can be contacted via phone (540) 375-0600.

Contact Information

Primary practice address
2102 W Main St Salem VA 24153-3129
Phone: (540) 375-0600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101-017397 Virginia

Profile Details

NPI number 1881666840
LBN Legal business name Godwin, Gene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Aug 11th, 2011 - about 15 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 1881666840 NPPES
Virginia MEDICAID 005602416

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