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
Phone: (509) 460-4246
Fax: (509) 585-1525
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063670701 | NPPES |
Washington | MEDICAID | 8267387 |
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