Goodwin, Brian Lawrence
Goodwin, Brian Lawrence is an sole proprietor health care provider with primary practice located at 50505 Schoenherr Rd Ste 230 , Shelby Township MI 48315-3140. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Goodwin, Brian Lawrence can be contacted via phone (248) 651-0008.Contact Information
Primary practice address
50505 Schoenherr Rd Ste 230
Shelby Township MI 48315-3140
Phone: (248) 651-0008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 5901400156 | Michigan |
Profile Details
| NPI number | 1124027321 |
|---|---|
| LBN Legal business name | Goodwin, Brian Lawrence |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Mar 24th, 2026 - about 7 months 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 | 1124027321 | NPPES |
| Michigan | MEDICAID | 1906797 | |
| Michigan | Other | 485505278 | |
| Michigan | Other | 4661520001 |
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