Goodwin, Malvina Ann

Goodwin, Malvina Ann is an sole proprietor health care provider with primary practice located at 7102 W Okanogan Place , Kennewick WA 99336. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Goodwin, Malvina Ann can be contacted via phone (509) 460-4246.

Contact Information

Primary practice address
7102 W Okanogan Place Kennewick WA 99336
Fax: (509) 585-1525
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 579458

Profile Details

NPI number 1063670701
LBN Legal business name Goodwin, Malvina Ann
Credentials RD CD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063670701 NPPES
Washington MEDICAID 8267387

Popular Providers