Goodkin, Michael

Goodkin, Michael is an individual health care provider with primary practice located at 1088 W Baltimore Pike Suite 2400, Media PA 19063-5146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Goodkin, Michael can be contacted via phone (610) 565-2100.

Contact Information

Primary practice address
1088 W Baltimore Pike Suite 2400 Media PA 19063-5146
Fax: (610) 892-0626
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD019064E Pennsylvania

Profile Details

NPI number 1043284656
LBN Legal business name Goodkin, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Aug 15th, 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 1043284656 NPPES
Pennsylvania MEDICAID 000639124

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