Goetzke, Katrina

Goetzke, Katrina is an individual health care provider with primary practice located at 709 Spring Valley Rd , Burlington WI 53105-7614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Goetzke, Katrina can be contacted via phone (262) 971-9200.

Contact Information

Primary practice address
709 Spring Valley Rd Burlington WI 53105-7614
Phone: (262) 971-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1615 Wisconsin

Profile Details

NPI number 1326039066
LBN Legal business name Goetzke, Katrina
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Nov 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326039066 NPPES
Wisconsin Other P00823724 RR MEDICARE
Wisconsin MEDICAID 004001300 RR MEDICARE

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