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Contact Information

MARK W GOODWIN, MFN, RDN, LD
2555 S DIXIE DR STE 112
DAYTON, OH45409-1532
 Phone: 937-220-6611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MARK W GOODWIN · (Male)

NPI Number 1629888136
Status Active
Credentials MFN, RDN, LD
Entity Individual
Enumeration date 01/08/2025
Last updated 01/08/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OH License # LD7271
Hospital affiliation(s) Not Available
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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