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Contact Information

MARVIN D GODWIN
106 W 5TH ST
CLOVIS, NM88101-7302
 Phone: 575-762-9352
 Fax: 575-763-3652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Homemaker

376J00000X
Indicates primary specialty

NPI Profile & details for MARVIN D GODWIN · (Male)

NPI Number 1407154941
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2011
Last updated 06/14/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NM Medicaid 88127303
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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