Godich, Paul Martin
Godich, Paul Martin is an sole proprietor health care provider with primary practice located at 3670 S 108Th St Ste 204, Greenfield WI 53228-1237. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Godich, Paul Martin can be contacted via phone (414) 453-1010.Contact Information
Primary practice address
3670 S 108Th St Ste 204
Greenfield WI 53228-1237
Phone: (414) 453-1010
Fax: (414) 425-4230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1297 | Wisconsin |
Profile Details
| NPI number | 1831175371 |
|---|---|
| LBN Legal business name | Godich, Paul Martin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Jan 25th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831175371 | NPPES |
| Wisconsin | MEDICAID | 38501000 |
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