Goodwin, Amy Marie

Goodwin, Amy Marie is an individual health care provider with primary practice located at 22 Union St , Camillus NY 13031-1019. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Goodwin, Amy Marie can be contacted via phone (315) 320-4080.

Contact Information

Primary practice address
22 Union St Camillus NY 13031-1019
Phone: (315) 320-4080
Fax: (315) 320-4080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 259430 New York

Profile Details

NPI number 1699966606
LBN Legal business name Goodwin, Amy Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Aug 5th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699966606 NPPES
New York MEDICAID 01959159

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