Goetzman, Beth A

Goetzman, Beth A is an individual health care provider with primary practice located at 2820 Roosevelt Road , Marinette WI 54143-3834. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goetzman, Beth A can be contacted via phone (715) 735-5225.

Contact Information

Primary practice address
2820 Roosevelt Road Marinette WI 54143-3834
Fax: (715) 735-5388
Website:

Health care specialties

Profile Details

NPI number 1265429690
LBN Legal business name Goetzman, Beth A
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Sep 16th, 2019 - about 5 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 1265429690 NPPES
Wisconsin Other 4825080008 MEDICARE DME
Wisconsin MEDICAID 43824100 MEDICARE DME

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