Goetz, James
Goetz, James is an sole proprietor health care provider with primary practice located at 1428 Deer Park Ave , N Babylon NY 11703-1611. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Goetz, James can be contacted via phone (631) 586-3388.Contact Information
Primary practice address
1428 Deer Park Ave
N Babylon NY 11703-1611
Phone: (631) 586-3388
Fax: (631) 586-3394
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N004737 | New York |
Profile Details
NPI number | 1861462269 |
---|---|
LBN Legal business name | Goetz, James |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 26th, 2006 |
Last updated | Feb 19th, 2014 - about 10 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 | 1861462269 | NPPES |
New York | MEDICAID | 01236960 |
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