Goetz, Carol Ann
Goetz, Carol Ann is an individual health care provider with primary practice located at 1800 E Lake Shore Dr , Decatur IL 62521-3883. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goetz, Carol Ann can be contacted via phone (217) 464-2973.Contact Information
Primary practice address
1800 E Lake Shore Dr
Decatur IL 62521-3883
Phone: (217) 464-2973
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.014342 | Illinois |
Profile Details
| NPI number | 1255322764 |
|---|---|
| LBN Legal business name | Goetz, Carol Ann |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Dec 20th, 2021 - about 3 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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