Goelz, Robert John
Goelz, Robert John is an sole proprietor health care provider with primary practice located at 1052 Bel Aire Ct , Green Bay WI 54304-5015. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Goelz, Robert John can be contacted via phone (920) 499-8711.Contact Information
Primary practice address
1052 Bel Aire Ct
Green Bay WI 54304-5015
Phone: (920) 499-8711
Fax: (920) 499-9903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5000898 | Wisconsin |
Profile Details
| NPI number | 1821149253 |
|---|---|
| LBN Legal business name | Goelz, Robert John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1821149253 | NPPES |
| Wisconsin | MEDICAID | 33541100 |
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