Goetting, Mark G

Goetting, Mark G is an individual health care provider with primary practice located at 3200 W Centre Ave Suite 203, Portage MI 49024-4889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Goetting, Mark G can be contacted via phone (269) 324-0799.

Contact Information

Primary practice address
3200 W Centre Ave Suite 203 Portage MI 49024-4889
Phone: (269) 324-0799
Fax: (269) 324-8013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301044951 Michigan

Profile Details

NPI number 1093778755
LBN Legal business name Goetting, Mark G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Nov 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 1093778755 NPPES
Michigan MEDICAID 1093778755

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