Goetz, Peter A.

Goetz, Peter A. is an sole proprietor health care provider with primary practice located at 134 Main St , Manasquan NJ 08736-3558. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Goetz, Peter A. can be contacted via phone (732) 223-2020.

Contact Information

Primary practice address
134 Main St Manasquan NJ 08736-3558
Phone: (732) 223-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 31TD00185200 New Jersey

Profile Details

NPI number 1780708099
LBN Legal business name Goetz, Peter A.
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 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 1780708099 NPPES
New Jersey Other 2222259035 TAX ID
New Jersey MEDICAID 7425406 TAX ID

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