Godner, Marvin Jordan

Godner, Marvin Jordan is an sole proprietor health care provider with primary practice located at 711 Pueblo Main Street , San Felipe Pueblo NM 87001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Godner, Marvin Jordan can be contacted via phone (505) 867-3365.

Contact Information

Primary practice address
711 Pueblo Main Street San Felipe Pueblo NM 87001
Phone: (505) 867-3365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 75-38 New Mexico

Profile Details

NPI number 1164439261
LBN Legal business name Godner, Marvin Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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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