Goeken, Megan

Goeken, Megan is an individual health care provider with primary practice located at 239 Village Center Pkwy Ste 190 , Stockbridge GA 30281-6396. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Goeken, Megan can be contacted via phone (770) 628-1500.

Contact Information

Primary practice address
239 Village Center Pkwy Ste 190 Stockbridge GA 30281-6396
Phone: (770) 628-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT006155 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 260261 Kentucky

Profile Details

NPI number 1144615675
LBN Legal business name Goeken, Megan
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2015
Last updated Apr 27th, 2023 - about 2 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 1144615675 NPPES
Georgia Other OT006155 GA STATE LICENSE
Georgia Other 260261 GA STATE LICENSE

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