Goeke, Chad

Goeke, Chad is an individual health care provider with primary practice located at W4173 County Road H , Fond Du Lac WI 54937-9653. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Goeke, Chad can be contacted via phone (815) 541-9561.

Contact Information

Primary practice address
W4173 County Road H Fond Du Lac WI 54937-9653
Phone: (815) 541-9561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1001300-15 Wisconsin

Profile Details

NPI number 1548619265
LBN Legal business name Goeke, Chad
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2016
Last updated Sep 27th, 2016 - 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.

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