Erik Goodwin
Individual provider Active NPI Chiropractor · Pontotoc, MS
NPI 1003429176 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1003429176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1021 (MS)
- Practice address
- 1 Goodwin Drive
Pontotoc, MS 38863 - Phone
- (662) 489-5366
- Fax
- (662) 842-2500
- NPI assigned
- Aug 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1021 | MS | Yes |
Addresses
Primary practice location
1 Goodwin Drive
Pontotoc, MS 38863
Mailing address
1 Goodwin Drive
Pontotoc, MS 38863
Phone (662) 489-5366
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 6624895366 |
Other providers in Pontotoc, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.