Goeken, Jane A
Goeken, Jane A is an individual health care provider with primary practice located at 209 North Cummings Lane , Washington IL 61571. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Goeken, Jane A can be contacted via phone (309) 886-2305.Contact Information
Primary practice address
209 North Cummings Lane
Washington IL 61571
Phone: (309) 886-2305
Fax: (309) 444-3893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-009676 | Illinois |
Profile Details
| NPI number | 1790745958 |
|---|---|
| LBN Legal business name | Goeken, Jane A |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 27th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790745958 | NPPES |
| Illinois | Other | P00991700 | RR MEDICARE |
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