Goodwin, Christa Cheyenne
Goodwin, Christa Cheyenne is an individual health care provider with primary practice located at 1103 S Us Highway 169 , Smithville MO 64089-9322. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Goodwin, Christa Cheyenne can be contacted via phone (816) 691-5340.Contact Information
Primary practice address
1103 S Us Highway 169
Smithville MO 64089-9322
Phone: (816) 691-5340
Fax: (816) 346-7054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2018020725 | Missouri |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2020038020 | Missouri |
Profile Details
| NPI number | 1487159976 |
|---|---|
| LBN Legal business name | Goodwin, Christa Cheyenne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2018 |
| Last updated | Nov 9th, 2021 - about 4 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 | 1487159976 | NPPES |
| Missouri | MEDICAID | 1487159976 |
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