Goodwine, Philip

Goodwine, Philip is an individual health care provider with primary practice located at 6725 S Eastern Ave Ste 1 , Las Vegas NV 89119-3949. She recently has 5 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Goodwine, Philip can be contacted via phone (702) 331-6200.

Contact Information

Primary practice address
6725 S Eastern Ave Ste 1 Las Vegas NV 89119-3949
Phone: (702) 331-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1194371062
LBN Legal business name Goodwine, Philip
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2019
Last updated Aug 15th, 2019 - about 5 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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