Goetz, Cameron A

Goetz, Cameron A is an individual health care provider with primary practice located at 339 Reed Ave , Manitowoc WI 54220-2020. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Goetz, Cameron A can be contacted via phone (920) 320-8600.

Contact Information

Primary practice address
339 Reed Ave Manitowoc WI 54220-2020
Phone: (920) 320-8600
Fax: (920) 320-8662
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2345-057 Wisconsin
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2345-057 Wisconsin

Profile Details

NPI number 1932120607
LBN Legal business name Goetz, Cameron A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Oct 17th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932120607 NPPES
Other P00241039 RAILROAD MEDICARE
Other Q23775 RAILROAD MEDICARE
Other 29439 RAILROAD MEDICARE
MEDICAID 43576700 RAILROAD MEDICARE

Popular Providers