Goelitz, Brian Wayne
Goelitz, Brian Wayne is an individual health care provider with primary practice located at 2185 Citracado Pkwy , Escondido CA 92029. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Goelitz, Brian Wayne can be contacted via phone (760) 940-4055.Contact Information
Primary practice address
2185 Citracado Pkwy
Escondido CA 92029
Phone: (760) 940-4055
Fax: (760) 940-4084
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A97686 | California |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | A97686 | California |
Profile Details
NPI number | 1649483850 |
---|---|
LBN Legal business name | Goelitz, Brian Wayne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 7th, 2007 |
Last updated | Jan 22nd, 2024 - about last year |
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 | 1649483850 | NPPES |
California | MEDICAID | 00A976860 |
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