Kwinke, Edith

Kwinke, Edith is an sole proprietor health care provider with primary practice located at 260 Windsor Way , Fairburn GA 30213-6497. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Kwinke, Edith can be contacted via phone (404) 200-1682.

Contact Information

Primary practice address
260 Windsor Way Fairburn GA 30213-6497
Phone: (404) 200-1682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 310004 Georgia
Nursing Service Providers / Home Health 163WH0200X 9585284 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X 5977 Georgia
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 310004 Georgia

Profile Details

NPI number 1508594532
LBN Legal business name Kwinke, Edith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2022
Last updated Aug 9th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508594532 NPPES
Georgia MEDICAID 05252005

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