Goodwin, John Wendall

Goodwin, John Wendall is an individual health care provider with primary practice located at 2115 S Fremont Ave Suite 1000, Springfield MO 65804-2239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Goodwin, John Wendall can be contacted via phone (417) 820-8099.

Contact Information

Primary practice address
2115 S Fremont Ave Suite 1000 Springfield MO 65804-2239
Phone: (417) 820-8099
Fax: (417) 820-8093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X R5365 Missouri

Profile Details

NPI number 1710077060
LBN Legal business name Goodwin, John Wendall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2006
Last updated Jul 15th, 2008 - about 18 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 1710077060 NPPES
Missouri MEDICAID 201246444

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