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Contact Information

BRIAN GOODWIN DPM PC
4737 24 MILE RD
SUITE 2
SHELBY, MI48316-3148
 Phone: 248-651-0008
 Fax: 248-651-6988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BRIAN GOODWIN DPM PC

NPI Number 1720262637
LBN Legal business name BRIAN GOODWIN DPM PC
Authorized official DEBRA MACHIN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/27/2007
Last updated 02/20/2008 - About 18 years ago
Identifiers
MI License # 1461520001
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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