Goethe, Mark James
Goethe, Mark James is an individual health care provider with primary practice located at 4401 Campus Ridge Dr , Midland MI 48640-6112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Goethe, Mark James can be contacted via phone (989) 832-0323.Contact Information
Primary practice address
4401 Campus Ridge Dr
Midland MI 48640-6112
Phone: (989) 832-0323
Fax: (989) 631-0886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301405876 | Michigan |
Profile Details
| NPI number | 1073535829 |
|---|---|
| LBN Legal business name | Goethe, Mark James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Sep 25th, 2017 - about 7 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 | 1073535829 | NPPES |
| Michigan | Other | P72856 | BCN |
| Michigan | Other | 2005601332 | BCN |
| Michigan | MEDICAID | 2971771 | BCN |
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