Goetz, Henry L
Goetz, Henry L is an individual health care provider with primary practice located at 1524 Highway 18W , Clear Lake IA 50428-1105. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goetz, Henry L can be contacted via phone (641) 357-7189.Contact Information
Primary practice address
1524 Highway 18W
Clear Lake IA 50428-1105
Phone: (641) 357-7189
Fax: (641) 357-7189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 02980 | Iowa |
| Chiropractic Providers / Chiropractor | 111N00000X | 0104000343 | Virginia |
| Chiropractic Providers / Chiropractor | 111N00000X | 0060000625 | Vermont |
Profile Details
| NPI number | 1861467524 |
|---|---|
| LBN Legal business name | Goetz, Henry L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1861467524 | NPPES |
| Iowa | MEDICAID | 0023002 | |
| Iowa | Other | 02300 |
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