Goebel, Diane S
Goebel, Diane S is an individual health care provider with primary practice located at 2350 W Horizon Ridge Pkwy , Henderson NV 89052-5075. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Goebel, Diane S can be contacted via phone (702) 564-8556.Contact Information
Primary practice address
2350 W Horizon Ridge Pkwy
Henderson NV 89052-5075
Phone: (702) 564-8556
Fax: (702) 564-4485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5529 | Nevada |
Profile Details
| NPI number | 1225030935 |
|---|---|
| LBN Legal business name | Goebel, Diane S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jun 17th, 2015 - about 9 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 | 1225030935 | NPPES |
| Nevada | MEDICAID | 003102184 | |
| Nevada | MEDICAID | 002018184 |
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