Goecke, Scott A.

Goecke, Scott A. is an individual health care provider with primary practice located at 2422 20Th St Sw , Jamestown ND 58401-6201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Goecke, Scott A. can be contacted via phone (701) 952-4845.

Contact Information

Primary practice address
2422 20Th St Sw Jamestown ND 58401-6201
Phone: (701) 952-4845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 46454 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8050 North Dakota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 8050 North Dakota

Profile Details

NPI number 1750367322
LBN Legal business name Goecke, Scott A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Aug 31st, 2011 - about 13 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 1750367322 NPPES
North Dakota MEDICAID 10780
North Dakota Other N712009

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