Goodwin, Robert Grant

Goodwin, Robert Grant is an individual health care provider with primary practice located at 4130 Linden Ave Ste 125 , Dayton OH 45432-3073. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goodwin, Robert Grant can be contacted via phone (937) 221-9387.

Contact Information

Primary practice address
4130 Linden Ave Ste 125 Dayton OH 45432-3073
Phone: (937) 221-9387
Fax: (937) 660-4066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1982 Ohio

Profile Details

NPI number 1487626040
LBN Legal business name Goodwin, Robert Grant
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated May 7th, 2024 - about 2 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 1487626040 NPPES
Other 311725337027 CARESOURCE
MEDICAID 0994081 CARESOURCE

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