Provider Information for 1831428291
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mr. WILLIAM RUSSELL GOODWIN LPC
Sex: Male
NPI: 1831428291
Last Updated: 2010-04-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1831428291 | ||||||||||||
| Enumeration Date | 2009-12-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 127 39TH AVENUE CT NW HICKORY, NC 28601-9031 United States Phone: 434-258-7995 | Fax: | ||||||||||||
| Primary Practice Address | 2780 MORGANTON BLVD SW LENOIR, NC 28645-8632 United States Phone: 434-258-7995 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|