Goodwin, Marjorie Ann

Goodwin, Marjorie Ann is an individual health care provider with primary practice located at 1132 Westfield St , West Springfield MA 01089-3878. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric, which is considered as her primary health care specialty. Goodwin, Marjorie Ann can be contacted via phone (413) 592-1980.

Contact Information

Primary practice address
1132 Westfield St West Springfield MA 01089-3878
Phone: (413) 592-1980
Fax: (413) 439-0096
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric 364SP0813X 114364 Massachusetts

Profile Details

NPI number 1679508626
LBN Legal business name Goodwin, Marjorie Ann
Credentials RN-PC MA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 22nd, 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 1679508626 NPPES
Massachusetts Other 83-01551 EVERCARE
Massachusetts Other P00169878 EVERCARE

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