Goedecke, Eric

Goedecke, Eric is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Emergency Medicine, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Goedecke, Eric can be contacted via phone (508) 856-5426.

Contact Information

Primary practice address
55 Lake Ave N Department Of Emergency Medicine Worcester MA 01655-0002
Phone: (508) 856-5426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 221572 Massachusetts

Profile Details

NPI number 1811964265
LBN Legal business name Goedecke, Eric
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Oct 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811964265 NPPES
Massachusetts MEDICAID 2108615

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