Goetz, Jennifer E.
Goetz, Jennifer E. is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Goetz, Jennifer E. can be contacted via phone (215) 707-3326.Contact Information
Primary practice address
3401 N Broad St
Philadelphia PA 19140-5103
Phone: (215) 707-3326
Fax: (215) 707-8028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN32360L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 070024 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN323360L | Pennsylvania |
Profile Details
| NPI number | 1265427025 |
|---|---|
| LBN Legal business name | Goetz, Jennifer E. |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | May 15th, 2018 - about 6 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 | 1265427025 | NPPES |
| Pennsylvania | Other | 50007108 | CAPITAL ADVANTAGE |
| Pennsylvania | Other | 1436283 | CAPITAL ADVANTAGE |
| Pennsylvania | Other | 2120741000 | CAPITAL ADVANTAGE |
| Pennsylvania | Other | 1436283 | CAPITAL ADVANTAGE |
| Pennsylvania | Other | 82849 | CAPITAL ADVANTAGE |
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