Provider Demographics
NPI:1609214733
Name:GOODWIN AND GOODWIN
Entity Type:Organization
Organization Name:GOODWIN AND GOODWIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-972-3227
Mailing Address - Street 1:548 N DREXEL AVE
Mailing Address - Street 2:
Mailing Address - City:BEXLEY
Mailing Address - State:OH
Mailing Address - Zip Code:43209-1046
Mailing Address - Country:US
Mailing Address - Phone:740-972-3227
Mailing Address - Fax:
Practice Address - Street 1:548 N DREXEL AVE
Practice Address - Street 2:
Practice Address - City:BEXLEY
Practice Address - State:OH
Practice Address - Zip Code:43209-1046
Practice Address - Country:US
Practice Address - Phone:740-972-3227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2502581251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable