Goodwin, Randy Jerome

Goodwin, Randy Jerome is an individual health care provider with primary practice located at 809 University Blvd E , Tuscaloosa AL 35401-2029. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Goodwin, Randy Jerome can be contacted via phone (205) 759-7352.

Contact Information

Primary practice address
809 University Blvd E Tuscaloosa AL 35401-2029
Phone: (205) 759-7352
Fax: (205) 759-6397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-031210 Alabama
Nursing Service Providers / Registered Nurse 163W00000X 1-031210 Alabama

Profile Details

NPI number 1659313864
LBN Legal business name Goodwin, Randy Jerome
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 4th, 2010 - about 16 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 1659313864 NPPES
Alabama Other 034174 AMERICAN ASSOCIATION OF NURSE ANESTHETISTS (CERTIFICATION)

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