Goodwin, Glenda Darlene

Goodwin, Glenda Darlene is an sole proprietor health care provider with primary practice located at 1106 Windfield Way Suite 2, El Dorado Hills CA 95762-9360. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Goodwin, Glenda Darlene can be contacted via phone (916) 941-6500.

Contact Information

Primary practice address
1106 Windfield Way Suite 2 El Dorado Hills CA 95762-9360
Phone: (916) 941-6500
Fax: (916) 691-4300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A71660 California
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X A71660 California

Profile Details

NPI number 1184685141
LBN Legal business name Goodwin, Glenda Darlene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2006
Last updated Apr 19th, 2013 - about 13 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 1184685141 NPPES
California MEDICAID 00A716600

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