Goebel, Kristine

Goebel, Kristine is an individual health care provider with primary practice located at 500 Interchange N , Lake Geneva WI 53147-8922. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Goebel, Kristine can be contacted via phone (262) 249-5860.

Contact Information

Primary practice address
500 Interchange N Lake Geneva WI 53147-8922
Fax: (262) 249-5870
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1615154 Wisconsin

Profile Details

NPI number 1588876320
LBN Legal business name Goebel, Kristine
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 18 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 1588876320 NPPES
Wisconsin MEDICAID 42761100

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