Goebel, Stephan U
Goebel, Stephan U is an individual health care provider with primary practice located at 1670 Clairmont Rd , Decatur GA 30033-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Goebel, Stephan U can be contacted via phone (404) 321-6111.Contact Information
Primary practice address
1670 Clairmont Rd
Decatur GA 30033-4004
Phone: (404) 321-6111
Fax: (404) 728-7746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 64797 | Georgia |
Profile Details
| NPI number | 1760595474 |
|---|---|
| LBN Legal business name | Goebel, Stephan U |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Feb 23rd, 2016 - 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 | 1760595474 | NPPES |
| West Virginia | MEDICAID | 3000322000 | |
| West Virginia | Other | CA7030 | |
| West Virginia | Other | P00611007 |
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