Healthcare Provider Details

I. General information

NPI: 1467698431
Provider Name (Legal Business Name): BETH ANN GOODWIN HOMEOPATH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BETH ANN ZUMANN

II. Dates (important events)

Enumeration Date: 12/23/2008
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 MADISON AVE N STE F
BAINBRIDGE ISLAND WA
98110-1749
US

IV. Provider business mailing address

PO BOX 11315
BAINBRIDGE ISLAND WA
98110-5315
US

V. Phone/Fax

Practice location:
  • Phone: 206-842-2702
  • Fax:
Mailing address:
  • Phone: 206-622-7913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00020096
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: