Goehl, Justin Michael

Goehl, Justin Michael is an individual health care provider with primary practice located at 18 Old Etna Rd Primary Care/Heater Road, Lebanon NH 03766-1937. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goehl, Justin Michael can be contacted via phone (603) 650-4000.

Contact Information

Primary practice address
18 Old Etna Rd Primary Care/Heater Road Lebanon NH 03766-1937
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301010021 Michigan
Chiropractic Providers / Chiropractor 111N00000X 994 New Hampshire

Profile Details

NPI number 1467796375
LBN Legal business name Goehl, Justin Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Jan 16th, 2017 - about 7 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 1467796375 NPPES
New Hampshire MEDICAID 3106393

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