Goetz, Mark Christopher

Goetz, Mark Christopher is an individual health care provider with primary practice located at 11269 Jefferson Hwy N , Champlin MN 55316-3123. He recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Rehabilitation, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Goetz, Mark Christopher can be contacted via phone (763) 236-0600.

Contact Information

Primary practice address
11269 Jefferson Hwy N Champlin MN 55316-3123
Phone: (763) 236-0600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PY60230406 Washington
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60230406 Washington
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY60230406 Washington
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Health 103TH0004X

Profile Details

NPI number 1780978023
LBN Legal business name Goetz, Mark Christopher
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2011
Last updated Apr 9th, 2021 - about 3 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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