Goecke, Mariah Ann
Goecke, Mariah Ann is an individual health care provider with primary practice located at 10532 N Port Washington Rd , Mequon WI 53092-5563. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Goecke, Mariah Ann can be contacted via phone (262) 240-1600.Contact Information
Primary practice address
10532 N Port Washington Rd
Mequon WI 53092-5563
Phone: (262) 240-1600
Fax: (262) 240-1602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4127-012 | Wisconsin |
Profile Details
| NPI number | 1609983956 |
|---|---|
| LBN Legal business name | Goecke, Mariah Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Sep 13th, 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 | 1609983956 | NPPES |
| Wisconsin | MEDICAID | 38967200 |
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