Goetz, David Randall
Goetz, David Randall is an individual health care provider with primary practice located at 105 Doctors Dr , Greenville SC 29605-5608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Goetz, David Randall can be contacted via phone (864) 797-7060.Contact Information
Primary practice address
105 Doctors Dr
Greenville SC 29605-5608
Phone: (864) 797-7060
Fax: (864) 797-7077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 10201 | South Carolina |
Profile Details
| NPI number | 1669420253 |
|---|---|
| LBN Legal business name | Goetz, David Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Apr 19th, 2013 - about 11 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 | 1669420253 | NPPES |
| South Carolina | MEDICAID | 102016 | |
| South Carolina | Other | P00817224 |
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