Goetz, Wendy Sue

Goetz, Wendy Sue is an sole proprietor health care provider with primary practice located at 4809 N Sheridan Rd , Peoria IL 61614-5927. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Goetz, Wendy Sue can be contacted via phone (309) 645-4028.

Contact Information

Primary practice address
4809 N Sheridan Rd Peoria IL 61614-5927
Phone: (309) 645-4028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 227-009215 Illinois

Profile Details

NPI number 1104072875
LBN Legal business name Goetz, Wendy Sue
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2008
Last updated Aug 13th, 2008 - about 17 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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