Goetz, Carl Stephen
Goetz, Carl Stephen is an individual health care provider with primary practice located at 6401 Coyle Avenue #315, Carmichael CA 95608. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Goetz, Carl Stephen can be contacted via phone (916) 966-6444.Contact Information
Primary practice address
6401 Coyle Avenue #315
Carmichael CA 95608
Phone: (916) 966-6444
Fax: (916) 966-9077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G32226 | California |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | G32226 | California |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | G32226 | California |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | G32226 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | G32226 | California |
Profile Details
| NPI number | 1235169707 |
|---|---|
| LBN Legal business name | Goetz, Carl Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Mar 6th, 2008 - 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 | 1235169707 | NPPES |
| California | MEDICAID | 00G322260 | |
| California | Other | 00G322261 |
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