Godin, Samuel
Godin, Samuel is an individual health care provider with primary practice located at 1950 Nw Myhre Rd Fl 3 , Silverdale WA 98383-7662. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Godin, Samuel can be contacted via phone (564) 240-4200.Contact Information
Primary practice address
1950 Nw Myhre Rd Fl 3
Silverdale WA 98383-7662
Phone: (564) 240-4200
Fax: (564) 240-4299
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP6129808 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP61298808 | Washington |
Profile Details
NPI number | 1023748621 |
---|---|
LBN Legal business name | Godin, Samuel |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2022 |
Last updated | Feb 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023748621 | NPPES |
Washington | MEDICAID | 2212414 |
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