Goetz, David William
Goetz, David William is an individual health care provider with primary practice located at 1063 Maple Dr Suite 1A, Morgantown WV 26505-2848. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Goetz, David William can be contacted via phone (304) 598-2992.Contact Information
Primary practice address
1063 Maple Dr Suite 1A
Morgantown WV 26505-2848
Phone: (304) 598-2992
Fax: (304) 598-5901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | NA | West Virginia |
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1073517983 |
|---|---|
| LBN Legal business name | Goetz, David William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Feb 4th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073517983 | NPPES |
| West Virginia | MEDICAID | 0070421000 |
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