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Contact Information

GOODWIN FOOT & ANKLE CENTER PLLC
3500 JACOB ST
WHEELING, WV26003-1934
 Phone: 304-905-0590
 Fax: 304-905-9458
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GOODWIN FOOT & ANKLE CENTER PLLC

NPI # 1821270406
LBN Legal business name GOODWIN FOOT & ANKLE CENTER PLLC
Authorized official JOSEPH GOODWIN - (SOLE MEMBER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2007
Last updated 07/28/2016 - About 10 years ago
Identifiers
WV License # 00377
WV Medicaid 3810012712
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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