Goebel, Roger A

Goebel, Roger A is an individual health care provider with primary practice located at 500 W Berkeley St , Uniontown PA 15401-5514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Goebel, Roger A can be contacted via phone (724) 430-5108.

Contact Information

Primary practice address
500 W Berkeley St Uniontown PA 15401-5514
Fax: (724) 430-3382
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD031843E Pennsylvania

Profile Details

NPI number 1124096078
LBN Legal business name Goebel, Roger A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 9th, 2007 - about 17 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 1124096078 NPPES
Pennsylvania Other MD031843E LICENSE NUMBER
Pennsylvania MEDICAID 0015555480009 LICENSE NUMBER

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