Goetz, Wava E
Goetz, Wava E is an sole proprietor health care provider with primary practice located at 410 Central Ave Suite 509, Great Falls MT 59401-3154. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goetz, Wava E can be contacted via phone (406) 761-7079.Contact Information
Primary practice address
410 Central Ave Suite 509
Great Falls MT 59401-3154
Phone: (406) 761-7079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 490 LCPC | Montana |
Profile Details
| NPI number | 1043369978 |
|---|---|
| LBN Legal business name | Goetz, Wava E |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043369978 | NPPES |
| Montana | MEDICAID | 253422 | |
| Montana | Other | 75283 |
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