Goetz, Lee V

Goetz, Lee V is an individual health care provider with primary practice located at 6 N Roosevelt St , Aberdeen SD 57401-3348. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Goetz, Lee V can be contacted via phone (605) 725-9900.

Contact Information

Primary practice address
6 N Roosevelt St Aberdeen SD 57401-3348
Phone: (605) 725-9900
Fax: (605) 725-9902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0435 South Dakota

Profile Details

NPI number 1760546212
LBN Legal business name Goetz, Lee V
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Dec 10th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760546212 NPPES
South Dakota Other 0435 DAKOTA CARE
South Dakota Other 5830333 DAKOTA CARE
South Dakota Other 4994784 DAKOTA CARE
South Dakota MEDICAID 5830333 DAKOTA CARE

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