Goodwin, Riley

Goodwin, Riley is an individual health care provider with primary practice located at 12955 Bogus Jim Rd , Rapid City SD 57702-9703. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Goodwin, Riley can be contacted via phone (605) 786-5643.

Contact Information

Primary practice address
12955 Bogus Jim Rd Rapid City SD 57702-9703
Phone: (605) 786-5643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1790479962
LBN Legal business name Goodwin, Riley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2023
Last updated Jun 8th, 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.

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