Goetsch, Angela S

Goetsch, Angela S is an individual health care provider with primary practice located at 1032 E Sumner St , Hartford WI 53027-1608. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Goetsch, Angela S can be contacted via phone (262) 673-2300.

Contact Information

Primary practice address
1032 E Sumner St Hartford WI 53027-1608
Phone: (262) 673-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 085010 Wisconsin

Profile Details

NPI number 1962714311
LBN Legal business name Goetsch, Angela S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated Mar 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962714311 NPPES
Wisconsin MEDICAID 100011601

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