Provider Type Icon

DR. RANDALL JAN GOODWIN DC NPI 1467620104


NPI Information

NPI: 1467620104
Provider Name: DR. RANDALL JAN GOODWIN, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
113 S MAIN ST STE C
ULYSSES, KS
ZIP 67880
Phone: (620) 356-1029
Get Directions

DR. Randall Jan Goodwin, DC is a chiropractor in Ulysses, KS. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Randall Jan Goodwin, DC NPI is 1467620104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

113 S MAIN ST STE C
ULYSSES, KS
ZIP 67880-519
Phone: (620) 356-1029
Fax: (620) 424-1397

The enumeration date for this NPI number is 2/15/2008 and was last updated on 2/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor01-04515KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICARE PINKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.