Goettlicher, Luke

Goettlicher, Luke is an individual health care provider with primary practice located at 3833 Coon Rapids Blvd Nw Ste 120 , Coon Rapids MN 55433-2599. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Goettlicher, Luke can be contacted via phone (763) 767-3350.

Contact Information

Primary practice address
3833 Coon Rapids Blvd Nw Ste 120 Coon Rapids MN 55433-2599
Phone: (763) 767-3350
Fax: (763) 767-0912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302300 Minnesota

Profile Details

NPI number 1427484898
LBN Legal business name Goettlicher, Luke
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2013
Last updated Dec 13th, 2018 - about 6 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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