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Contact Information

ETHELYNN A GOODIN, MD
5920 COLISEUM BLVD
ALEXANDRIA, LA71303
 Phone: 318-443-9339
 Fax: 318-443-9116
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ETHELYNN A GOODIN · (Female)

NPI # 1093898025
Status Active
Credentials MD
Entity Individual
Enumeration date 10/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 04417R
  • LA Medicaid 1199796
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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