Godwin, Marvin Dwight

Godwin, Marvin Dwight is an sole proprietor health care provider with primary practice located at 106 W 5Th St , Clovis NM 88101-7302. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is his primary health care specialty. Godwin, Marvin Dwight can be contacted via phone (575) 762-9352.

Contact Information

Primary practice address
106 W 5Th St Clovis NM 88101-7302
Phone: (575) 762-9352
Fax: (575) 763-3652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1407154941
LBN Legal business name Godwin, Marvin Dwight
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2011
Last updated Jun 14th, 2024 - 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 1407154941 NPPES
New Mexico MEDICAID 88127303

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