Goedecke, Elizabeth A.

Goedecke, Elizabeth A. is an individual health care provider with primary practice located at 2200 Bergquist Dr Suite 1, Lackland A F B TX 78236-9907. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Goedecke, Elizabeth A. can be contacted via phone (210) 292-3871.

Contact Information

Primary practice address
2200 Bergquist Dr Suite 1 Lackland A F B TX 78236-9907
Phone: (210) 292-3871
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05062 Texas

Profile Details

NPI number 1265589436
LBN Legal business name Goedecke, Elizabeth A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 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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