Goetz, Bonnie L.
Goetz, Bonnie L. is an sole proprietor health care provider with primary practice located at 614 N Nevada Ave 205, Colorado Springs CO 80903-5021. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Goetz, Bonnie L. can be contacted via phone (719) 630-0287.Contact Information
Primary practice address
614 N Nevada Ave 205
Colorado Springs CO 80903-5021
Phone: (719) 630-0287
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3127 | Colorado |
Profile Details
| NPI number | 1184621849 |
|---|---|
| LBN Legal business name | Goetz, Bonnie L. |
| Credentials | MA, LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1184621849 | NPPES |
| Colorado | MEDICAID | 532849 |
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