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Contact Information

JEFFREY E GODWIN, MD
1100 CENTRAL AVE SE
ALBUQUERQUE, NM87106-4930
 Phone: 505-843-1234
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY E GODWIN · (Male)

NPI # 1184604720
Status Active
Credentials MD
Entity Individual
Enumeration date 01/19/2006
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2009-0045
  • NM Medicaid 1184705720
  • OH Medicaid 0647812
Hospital affiliation(s)
  • ESPANOLA HOSPITAL - (Acute Care)
    1010 SPRUCE STREET
    ESPANOLA, NM 87532
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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