Goettler, Gail Lynne

Goettler, Gail Lynne is an sole proprietor health care provider with primary practice located at 1030 E County Line Road Suite B-2 , Indianapolis IN 46277-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Goettler, Gail Lynne can be contacted via phone (317) 887-6060.

Contact Information

Primary practice address
1030 E County Line Road Suite B-2 Indianapolis IN 46277-0001
Phone: (317) 887-6060
Fax: (317) 859-5946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01036971 Indiana

Profile Details

NPI number 1679577282
LBN Legal business name Goettler, Gail Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2005
Last updated Mar 20th, 2021 - about 4 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 1679577282 NPPES
Indiana Other 000000087993 ANTHEM
Indiana MEDICAID 100351160 ANTHEM

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